Fill and Sign the Fillable Online the City of Henderson Fax Email Print Form

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 NAM E Pursuant to the provisions of Section (1)_______________________NMSA 1978, the un dersigned hereby applies for reservation of the following corporate name for a period of one hundred an d 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) Please check to indicate how the documents are to be delivered WILL PICKUP MAIL TO ADDR ESS ABOVE New Mexico Secretary of State Business Services Division 325 Don Gaspar, Suite 300 · S anta Fe, N M 87501 (800) 477-3632 · ww w.sos.state.nm.us DOCUMENT DELIVERY INSTRUCTIONS (You M UST have one Document Delivery Instruction form for each filing being submitted) IF YOU HAVE SELECTED TO PICK UP YOUR DOCUMENTS, OUR OFFICE WILL CONTACT YOU WHEN YOUR DOCUMENTS ARE COMPLETED AND READY FOR PICK UP . DOCUMENTS WILL NOT BE HELD FOR MORE THAN 5 BUSINESS DAYS . IF YOU HAVE NOT PICKED THEM UP WITHIN THAT TIME FRAME, THEY WILL BE MAILED TO THE ADDRESS LIST ED ABOVE. PLEASE CONTA CT OUR OFFICE AT 800 -477 -3632 AND NOTIFY US IF YOU ARE NOT ABLE TO PICK UP WITHIN THAT TIME FRAME . -- Thank You DOCUMENTS MUST BE TYPED OR PRINTED LEGIBLY S OS -DD I (revised 6 /18) Entity Name on filing: Mail to (Business or Personal Name) : Attention (if applicable): Document Mailing Address: City: State:Zip Code: Contact Name: Contact Email: Contact Phone Number: Please complete the information below if different from above.