TO: _______________(1)______________________

_______________(2)______________________

Pursuant to the provisions of State law, the undersigned, who are intended incorporators, hereby apply for reservation of the following corporate name for a period of 120 days: _________(3)______ .

If the above name cannot be reserved for any reason, the undersigned request that one of the following corporate names be reserved, in the stated order of preference:

Second preference: ___________(4)____________

Third preference: ____________(5)____________

Dated __________(6)______________, 19__(7)_.

____________(8)_______________

____________(9)_______________

____________(10)______________

NOTICE

The information in this document is designed to provide an outline that you can follow when formulating business or personal plans. Due to the variances of many local, city, county and state laws, we recommend that you seek professional legal counseling before entering into any contract or agreement.