Application For Reservation Of Corporate Name (Profit Or Nonprofit Corp) {RS-CS}

325 Don Gaspar, Suite 300 Santa Fe, NM 87501 (800) 477-3632 www.sos.state.nm.us TO: SECRETARY OF STATE CORPORATION BUREAU 325 DON GASPAR, SUITE 300 SANTA FE, NEW MEXICO 87501 APPLICATION FOR RESERVATION OF CORPORATE NAME (FEE: $25.00 ­ BUSINESS; $10.00 ­ NONPROFIT) Fee payable to the SECRETARY OF STATE THERE IS NO PROVISION FOR RENEWAL OF CORPORATE NAME Pursuant to the provisions of Section (1)_______________________NMSA 1978, the undersigned hereby applies for reservation of the following corporate name for a period of one hundred and twenty (120) days: _____________________________________________________________________________________ _____________________________________________________________________________________ Date:_______________________________ (2)___________________________________________ _____________________________________________ (3)___________________________________________ Its___________________________________________ _____________________________________________ (Applicant's Mailing Address) NOTES: 1. Enter 53-8-7-1 (Nonprofit) or 53-11-8 (Business), as applicable; 2. Signature of Applicant if an individual, or name of Applicant if a corporation; 3. Signature and title of officer if applicant is a corporation. RS-CS (REV 6/13) American LegalNet, Inc. www.FormsWorkFlow.com