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Certificate of Assumed Name (Michigan)

This form reserves the name for use by Corporations, Limited Partnerships and Limited Liability Companies in Michigan. The form provided here is simply a sample of what the actual Form 541 looks like.

MICHIGAN DEPARTMENT OF CONSUMER & INDUSTRY SERVICES
BUREAU OF COMMERCIAL SERVICES

This document is effective on the date filed, unless a subsequent effective date within 90 days after received date is stated in the document.

Name: __________________________

Address: __________________________

City: ___________________________

State: __________________________

Zip Code: ______________________

Document will be returned to the name and address you enter above.
If left blank document will be mailed to the registered office.

CERTIFICATE OF ASSUMED NAME
For use by Corporations, Limited Partnerships and Limited Liability Companies

Pursuant to the provisions of Act 284, Public Acts of 1972 (profit corporations), Act 162, Public Acts of 1982 (nonprofit corporations), Act 213, Public Acts of 1982 (limited partnerships), or Act 23, Public Acts of 1993 (limited liability companies), the corporation, limited partnership, or limited liability company in item one executes the following Certificate:

1. The name of the corporation, limited partnership, or limited liability company is: _____________________

2. The identification number assigned by the Bureau is: _________________

3. The assumed name under which business is to be transacted is: ___________________

4. This document is hereby signed as required by the Act.

COMPLETE ITEM 5 ON LAST PAGE IF THIS NAME IS ASSUMED BY MORE THAN ONE ENTITY.

Signed this___________________ day of __________________, __________

By ______________________________ (Signature)

_________________________________ (Type or Print Name)

_________________________________ (Type or Print Title)

______________________________ (Limited Partnerships Only - Indicate Name of General Partner if the General Partner is a corporation or other entity)


Preparer's Name ______________________________

Business Telephone Number ______________________________


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INSTRUCTIONS FOR FILLING OUT THIS FORM
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1. The Certificate of Assumed Name cannot be filed until this form, or a comparable document, is submitted. This Certificate is to be used by a corporation, limited partnership, or limited liability company desiring to transact business under a name other than its true name.

2. Submit one original of this document. Upon filing, the document will be added to the records of the Bureau of Commercial Services. The original will be returned to your registered office address, unless you enter a different address in the box on the front of this document.

Since this document will be maintained on electronic format, it is important that the document be legible. Documents with poor black and white contrast, or otherwise illegible, will be rejected.

3. The Certificate is effective for a period expiring on December 31 of the fifth full calendar year following the year in which it was filed, unless a Certificate of Termination is filed.

4. When the same name is assumed by more than one entity, each participant corporation, limited partnership, or limited liability company must simultaneously file a separate Certificate of Assumed Name. The assumed name will be effective for the same period for each participant.

5. Item 1 - The name is the name contained in the original, amended, or restated Articles of Incorporation, Certificate of Limited Partnership, or Articles of Organization. The name of a foreign corporation, limited partnership, or limited liability company, is that name under which it obtained its authority to transact business or conduct affairs in Michigan.

6. Item 2 - Enter the identification number assigned by the Bureau. If this number is unknown, leave it blank.

7. The Certificate must be signed by

CORPORATIONS: an authorized officer or agent.

LIMITED PARTNERSHIPS: a general partner.

DOMESTIC LIMITED LIABILITY COMPANY: a manager if management is vested in one or more managers; otherwise the signature of at least one member.

FOREIGN LIMITED LIABILITY COMPANY: a person with authority to do so under the laws of the jurisdiction of its organization.

8. NONREFUNDABLE FEE: Make remittance payable to the State of Michigan. Include name and identification number on check or money order.

CORPORATION OR LIMITED PARTNERSHIP............................................... $10.00
LIMITED LIABILITY COMPANY ............................................ $25.00

To submit by mail:
Michigan Department of Consumer & Industry Services
Bureau of Commercial Services
Corporation Division
7150 Harris Drive
P.O. Box 30054
Lansing, MI 48909

To submit in person:
6546 Mercantile Way
Lansing, MI
Telephone: (517) 241-6400
Fees may be paid by VISA or Mastercard when delivered in person to our office.

MICH-ELF (Michigan Electronic Filing System):
First time users: Call (517) 241-6420 or visit our website at https://www.cis.state.mi.us/bcs/corp/
Customer with MICH-ELF Filer Account: Send document to (517) 241-9845.

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