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Name Registration 534A - Ohio
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Form 534A Prescribed by the: Ohio Secretary of State Central Ohio: (614) 466-3910 Toll Free: (877) SOS-FILE (767-3453) www.OhioSecretaryofState.gov Busserv@OhioSecretaryofState.gov Mail this form to one of the following: Regular Filing (non expedite) P.O. Box 670 Columbus, OH 43216 Expedite Filing (Two-business day processing time requires an additional $100.00). P.O. Box 1390 Columbus, OH 43216 Name Registration Filing Fee: $50 CHECK ONLY ONE (1) Box Trade Name (167-RNO) Date of first use: MM/DD/YYYY Fictitious Name (169-NFO) Name being Registered or Reported Name of the Registrant Note: If the registrant is a partnership, please provide the name of the partnership. Individual partner names are not permitted but are required on page 2 of the form. The Registrant is a(n): (Check only one (1) box) Individual General Partnership Registration #, if any Ohio Corporation Charter # Foreign Corporation Ohio license # Jurisdiction of Formation Limited Partnership Registration # If Foreign, Jurisdiction of Formation Unincorporated Association Professional Association Charter # Limited Liability Partnership Registration # If Foreign, Jurisdiction of Formation Other Limited Liability Company Registration # If Foreign, Jurisdiction of Formation Form 534A Page 1 of 2 Last Revised: 2/6/12 American LegalNet, Inc. www.FormsWorkFlow.com All registrants must complete the information in this section The general nature of business conducted by the registrant: Business address: Mailing Address City State Zip Code Complete the information in this section if registrant is a partnership NOT registered in Ohio pursuant to ORC 1776, if partnership is registered, provide registration number on page one. Provide the name and address of at least one general partner: Name Address NOTE: Pursuant to OAG 89-081, if a general partner is a foreign corporation/limited liability company, it must be licensed to transact business in Ohio; if a general partner is a foreign corporation/limited liability company licensed in Ohio under an assumed name, please provide the assumed name and the name as registered in its jurisdiction of formation. By signing and submitting this form to the Ohio Secretary of State, the undersigned hereby certifies that he or she has the requisite authority to execute this document. Required Application must be signed by the registrant or an authorized representative. If authorized representative is an individual, then they must sign in the "signature" box and print their name in the "Print Name" box. Signature By (if applicable) Print Name If authorized representative is a business entity, not an individual, then please print the business name in the "signature" box, an authorized representative of the business entity must sign in the "By" box and print their name in the "Print Name" box. Form 534A Page 2 of 2 Last Revised: 2/6/12 American LegalNet, Inc. www.FormsWorkFlow.com Instructions for Name Registration This form should be used to register a trade name or report the use of a fictitious name. To register a trade name, please select box 1. Pursuant to Ohio Revised Code §1329.01(B)(4), please provide the date on which the registrant first used the trade name, which must be prior to the date of filing. Examples of "use" include opening a business account in the trade name, placing the trade name on products, advertisements using the trade name or business cards and letterhead. To report the use of a fictitious name, please select box 2. Pursuant to Ohio Revised Code §1329.01 (D), any person who does business under a fictitious name not registered as a trade name must report the use of that name to the Secretary of State. A trade name is a name used in business or trade to designate the business of the user and to which the user asserts a right to exclusive use. A trade name must be distinguishable upon the record from other previously registered business names. See our Name Availability Guide at www.OhioSecretaryofState.gov, for more information regarding name requirements and restrictions. A fictitious name is a name used in business or trade that the user has not registered as a trade name or is not entitled to register as a trade name. Registration of a fictitious name does not give the user any exclusive right to use the name. Name Being Registered or Reported State the trade name or fictitious name to be registered or reported. Pursuant to Ohio Revised Code §1329.02 a trade name cannot indicate or imply that the registrant is incorporated unless the registrant is incorporated. Specifically, only a corporation can file a trade name which includes entity words such as: "company," "co.," "corporation," "corp.," incorporated," or "inc." Registrant Information Check the appropriate box to identify the type of entity registering the trade name or reporting the fictitious name. Complete the appropriate information on the lines provided for the specific entity type. If the entity is registered with our office, it must provide the charter/registration/license number. If the entity is incorporated in another jurisdiction, list the jurisdiction of formation and Ohio charter/ registration/license number. State the name of the registrant on the line provided. If the registrant is a foreign corporation licensed in Ohio under an assumed name, the assumed name must be provided as well as the corporation's name as registered in the jurisdiction of formation. Provide the complete business address of the registrant. Information if Registrant is a General Partnership Pursuant to Ohio Revised Code § 1329.01(B)(1)(a), if the registrant is a general partnership, please provide the registration number assigned to the partnership by our office. If the general partnership is not registered in our office, please provide the name and address of at least one general partner. Form 534A Last Revised: 2/6/12 American LegalNet, Inc. www.FormsWorkFlow.com Additional Provisions If the information you wish to provide for the record does not fit on the form, please attach additional provisions on a single-sided, 8 1/2 x 11 sheet(s) of paper. Signature(s) After completing all information on the filing form, please make sure that the form is signed by an authorized representative. **NOTE: Our office cannot file or record a document that contains a social security number or tax identification number. Please do not enter a social security number or tax identification number, in any format, on this form. Form 534A Last Re
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