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Fictitious Business Name Statement 624 - Rhode Island

Fictitious Business Name Statement Form. This is a Rhode Island form and can be used in General Business Secretary Of State .
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Filing Fee: $50.00 ID Number: STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS Office of the Secretary of State Corporations Division 100 North Main Street Providence, Rhode Island 02903-1335 FICTITIOUS BUSINESS NAME STATEMENT (To Be Filed In Duplicate) Pursuant to the provisions of Section 7-1.1-7.1, 7-16-9 or 7-13-2 of the General Laws, 1956, as amended, the undersignedbusiness corporation, limited liability company or limited partnership hereby submits the following statement for authority totransact business in the state of Rhode Island under a fictitious business name: 1. The legal name of the applicant business corporation, limited liability company or limited partnership is: 2. The fictitious business name to be used is 3. The state or territory under the laws of which it is incorporated, organized or formed is 4. The date of incorporation, organization or formation is 5. If a business corporation, the address of its registered office within Rhode Island is 6. If a business corporation, the business in which it is engaged 7. Applicant is otherwise authorized to do business in the state of Rhode Island. Under penalty of perjury, I declare that the information contained herein is true and correct. Date: Name of Applicant Corporation, Limited Liability Company or Limited Partnership By / Signature of Officer for the Corporation Title or By Signature of Authorized Person for the Limited Liability Company or By Signature of Authorized Person for the Limited PartnershipForm No. 624 Revised: 01/99 <<<<<<<<<********>>>>>>>>>>>>> 2 STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS Office of the Secretary of State Corporations Division 100 North Main Street Providence, Rhode Island 02903-1335 (401) 222-3040 INSTRUCTIONS FOR FILING FICTITIOUS BUSINESS NAME STATEMENT Section 7-1.1-7.1, 7-16-9, and 7-13-2 of the General Laws of Rhode Island, 1956, as amended1. Any entity organized and existing under the laws of any state or territory of the United States may transact business in this state under a fictitious business name provided that it files, in duplicate, a Fictitious Business Name Statement (Form No. 624) with the Office of the Secretary of State, Corporations Division, at the above address. 2. When the Statement is properly completed, signed and submitted with the correct filing fee, the file stamped duplicate Fictitious Business Name Statement, shall be returned to the filer. 3. The proposed fictitious business name cannot be the same as, or deceptively similar to, the name of any entity, name reservation or registration on file with the Corporations Division. Availability of the corporations name should be checked prior to submission of the Statement by calling the above number. This is only a preliminary clearance and does not ensure that the name will be acceptable upon filing the Fictitious Business Name Statement. It is suggested that you do not make any financial expenditures or execute documents utilizing the name based upon this preliminary clearance. The final determination as to availability of the name will be made when the documents are submitted for filing. 4. The Statement must be accompanied by a filing fee of $50.00, and payment should be made payable to the Rhode Island Secretary of State. 5. Upon filing the Statement, the entity must be in good standing and current with the filing of its annual reports and the maintenance of its registered agent and registered office in this state. 6. The Fictitious Business Name Statement shall expire upon the filing of a Statement of Abandonment of Use of Fictitious Business Name or upon the dissolution of the applicant entity. 7. The Statement shall be executed by an officer, if the applicant entity is a corporation, or executed by an authorized person, if the applicant entity is a limited liability company or limited partnership. If you have any questions, please call us at (401) 222-3040, Monday through Friday, between 8:30 a.m. and 4:30 p.m.Instructions/Form 624 Revised: 01/99
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