STATE OF SOUTH CAROLINA
SECRETARY OF STATE
APPLICATION TO RESERVE
A LIMITED LIABILITY COMPANY NAME
TYPE OR PRINT CLEARLY IN BLACK INK
The applicant applies to reserve the exclusive use of a Limited Liability Company name (including in
accordance with Section 33-44-1005 of the 1976 South Carolina Code of Laws, as amended a fictitious
name for a foreign Limited Liability Company whose name is not available), for a non-renewable one
hundred and twenty (120) day period as provided in Section 33-44-106 of the 1976 South Carolina Code
of Laws, as amended.
1. The Limited Liability Company name to be reserved which complies with the requirements of
Section 33-44-105 or Section 33-43-1005 of the 1976 South Carolina Code of Laws, as
amended, is
2. The name and address of the applicant is
Name
___________________________________________________________________________________________
Street Address
___________________________________________________________________________________________
City State Zip Code
Date ______________________ ______________________________________
Signature of Applicant
FILING INSTRUCTIONS
1. File two copies of this application, the original and either a duplicate original or a conformed copy.
2. This application must be accompanied by the filing fee of $25.00, payable to the Secretary of State.
Return to: Secretary of State
1205 Pendleton Street Suite 525
Columbia SC 29201
NOTE
RESERVING THIS CORPORATE NAME DOES NOT, IN AND OF ITSELF, PROVIDE AN EXCLUSIVE RIGHT TO USE THIS
CORPORATE NAME ON OR IN CONNECTION WITH ANY PRODUCT OR SERVICE. USE OF A NAME AS A TRADEMARK OR
SERVICE MARK WILL REQUIRE FURTHER CLEARANCE AND REGISTRATION AND BE AFFECTED BY PRIOR USE OF THE
MARK. FOR MORE INFORMATION, CONTACT THE TRADEMARKS DIVISION OF THE SECRETARY OF STATE'S OFFICE.
.
F
orm
Revised by South Carolina
Secretary of State, March 2011
