Fill and Sign the Justia Articles of Association State Forms

R OBIN C ARNAHAN SECRETARY OF STATE STATE OF M ISSOURI CORPORATIONS(573) 751-4153 J AMES C. K IRKPATRICK STATE INFORMATION CENTER (573) 751-4936 PO B OX 778 • J EFFERSON CITY , M ISSOURI  65102 www.sos.mo.gov FICTITIOUS NAME REGISTRATION THERE IS NO NAME PROTECTION UNDER THE FICTITIOUS NAME ACT (Chapter 417). TO SECURE PROMPT AND EFFICIENT FILING OF YOUR APPLICATION FOR FICTITIOUS NAME REGISTRATION, IT IS ESSENTIAL TO COMPLY WITH THE FOLLOWING: 1. Application is to be submitted on forms supplied by the Secretary of Sta\ te’s Office or filed online at www.sos.mo.gov by selecting “Online Business Services.” 2. A $7.00 filing fee must accompany the application. Please make checks payable to "Director of Revenue". 3. A business name must be given. (Only one business name per registration). 4. A business entity designation (Corporation, Corp., Incorporated, Inc., LC, LP, LLP, LLLP) may not be included within the business name unless the registration shows ownership by an appropriate business enti- ty registered in Missouri which is in good standing. 5. A physical business address must be listed. (Only one business address per registration.) A post office box alone may not be used as an address. 6. Owner(s) must be listed (individual or business entity) along with a physical address for each. 7. Percentage of ownership is not required. If an owner is not jointly and severally liable, however, percentage of ownership must be listed for each individual and it must total 100%. 8. The registration must be signed by an authorized person. 9. If a business entity is involved in ownership it must be incorporated, registered, or qualified to do business in Missouri with the Secretary of State and in good standing status. 10. The fictitious name registration expires 5 years after the date filed, unless a renewal filing is submitted within 6 months prior to expiration. If you have questions, call or write SECRETARY OF STATE, CORPORATION DIVISION, P.O. BOX 778, JEFFERSON CITY, MO 65102, TELEPHONE (573) 751-4153 or toll-free at (866) 223-6535. Ltr. 681 (01/05) Registration of Fictitious Name (Submit with filing fee of $7)(Must be typed or printed) This information is for the use of the public and gives no protection to the name being registered. There is no provision in t his Chapter to keep another person or business entity from adopting and using the same name. The fictitious name registration expires 5 years from the filing date. (Chapter 417, RSMo) The undersigned is doing business under the following name, and at the following address: Business name to be registered: ________________________________________________________________________\ ____ Business Address: ________________________________________________________________________\ ____ (P.O. Box may only be used in addition to a physical street address) City, State and Zip Code: ________________________________________________________________________\ ____ The parties having an interest in the business, and the percentage they own are (If a business entity is owner, indicate business name and percentage owned. If all parties are jointly and severally liable, percentage of ownership need not be listed.): ________________________________________________________________________\ ________________________________________ ________________________________________________________________________\ ________________________________________ ________________________________________________________________________\ ________________________________________ ________________________________________________________________________\ ________________________________________ Authorized Signature Printed Name Date ________________________________________________________________________\ ________________________________________ Authorized Signature Printed Name Date ________________________________________________________________________\ ________________________________________ Authorized Signature Printed Name Date State of Missouri Robin Carnahan, Secretary of State Corporations Division P.O. Box 778 / 600 W. Main Street, Rm 322 Jefferson City, MO 65102 MDCCCXX POPULISUPREMALEXESTO SALUSUNITEDWESTANDDIVIDEDWEFALL UNUMEPLURIBUS Corp. 56 (01/05) Name and address to return filed document: Name: __________________________________________ Address: _________________________________________ City, State, and Zip Code: __________________________ Name of Owners, Individual or Business Entity Street and Number City and State If listed, Percentage of ownership must equal 100% Zip Code In Affirmation thereof, the facts stated above are true and correct : (The undersigned understands that false statements made in this filing are subject to the penalties provided under Section 575. 060 RSMo)