STATE OF SOUTH CAROLINA
SECRETARY OF STATE
APPLICATION TO RESERVE A NAME
Nonprofit Corporation – Domestic and Foreign
Filing Fee - $10.00
TYPE OR PRINT CLEARLY WITH BLACK INK
1. Pursuant to S.C. Code of Laws §33-31-402, the undersigned hereby applies to the Secretary of State to
reserve the following corporate name:
_______________________________________________________________________________________
for a nonrenewable period of one hundred twenty days from the date of filing this application.
2. Name, address and signature of the applicant:
________________________________________________________________________________________
Name
________________________________________________________________________________________
Street Address
________________________________________________________________________________________
City State Zip Code
Date______________________ ____________________________________________
Signature of Applicant
____________________________________________
Type or Print Name
Filing Checklist
■ Application to Reserve a Name (filed in duplicate)
■ $10.00 made payable to the South Carolina Secretary of State
■ Self-Addressed, Stamped Return Envelope
■ Return all documents to: South Carolina Secretary of State’s Office
Attn: Corporate Filings
1205 Pendleton Street, Suite 525
Columbia, SC 29201
NOTE
Registering your 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.
Form Approved by South Carolina
Secretary of State, May 2011
