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Fictitious Business Name Statement 626 - Rhode Island

Fictitious Business Name Statement Form. This is a Rhode Island form and can be used in Non-Profit Corporation Secretary Of State .
 Fillable pdf Last Modified 8/9/2006
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Filing Fee: $20.00 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 NON-PROFIT CORPORATION _____________ FICTITIOUS BUSINESS NAME STATEMENT (To Be Filed In Duplicate) Pursuant to the provisions of Section 7-6-11 of the General Laws, 1956, as amended, the undersigned non-profitcorporation hereby submits the following statement for authority to transact its affairs in the State of Rhode Island under afictitious business name: 1. The name of the non-profit corporation is 2. The fictitious business name to be used is 3. The state or other jurisdiction under the laws of which it is incorporated is 4. The date of incorporation is Under penalty of perjury, I declare that the information contained herein is true and correct. Date: Print Name of Applicant Non-Profit Corporation By Signature of Authorized Person TitleForm No. 626 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 7-6-11 of the General Laws of Rhode Island, 1956, as amended1. Any non-profit corporation organized under the laws of, or qualified to conduct affairs in this state may transact its affairs in this state under a fictitious business name provided that it files, in duplicate, a Fictitious Business Name Statement (Form No. 626) 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 $20.00, 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 its 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 authorized person of the non-profit corporation or by a person with authority to do so under the laws of the state or other jurisdiction of the organization of the non-profit corporation. 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 626 Revised: 01/99
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