"Statement of Trade Name of a Reporting Entity - Sample" - Colorado

Statement of Trade Name of a Reporting Entity - Sample is a legal document that was released by the Colorado Secretary of State - a government authority operating within Colorado.

Form Details:

  • Released on January 1, 2008;
  • The latest edition currently provided by the Colorado Secretary of State;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Colorado Secretary of State.

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Download "Statement of Trade Name of a Reporting Entity - Sample" - Colorado

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Form must be filed electronically.
Paper forms are not accepted.
This copy is a sample and cannot be submitted for filing.
Statement of Trade Name of a Reporting Entity
filed pursuant to §7-71-103 and §7-71-107 of the Colorado Revised Statutes (C.R.S)
1. For the reporting entity delivering this statement, its ID number, true name, form of entity and the
jurisdiction under the law of which it is formed are
ID Number
_________________________
(Colorado Secretary of State ID number)
True name
______________________________________________________
Form of entity
______________________________________________________
Jurisdiction
______________________________________________________.
2. The trade name under which such entity transacts business or conducts activities or contemplates
transacting business or conducting activities in this state is
______________________________________________________________________________________.
3. A brief description of the kind of business transacted or activities conducted or contemplated to be
transacted or conducted in this state under such trade name is
______________________________________________________________________________________.
4.
(If the following statement applies, adopt the statement by marking the box and include an attachment.)
This document contains additional information as provided by law.
5.
(Caution: Leave blank if the document does not have a delayed effective date. Stating a delayed effective date has
significant legal consequences. Read instructions before entering a date.)
(If the following statement applies, adopt the statement by entering a date and, if applicable, time using the required format.)
The delayed effective date and, if applicable, time of this document are ____________________________.
(mm/dd/yyyy hour:minute am/pm)
Notice:
Causing this document to be delivered to the Secretary of State for filing shall constitute the affirmation or
acknowledgment of each individual causing such delivery, under penalties of perjury, that such document is
such individual's act and deed, or that such individual in good faith believes such document is the act and deed
of the person on whose behalf such individual is causing such document to be delivered for filing, taken in
conformity with the requirements of part 3 of article 90 of title 7, C.R.S. and, if applicable, the constituent
documents and the organic statutes, and that such individual in good faith believes the facts stated in such
document are true and such document complies with the requirements of that Part, the constituent documents,
and the organic statutes.
This perjury notice applies to each individual who causes this document to be delivered to the Secretary of
State, whether or not such individual is identified in this document as one who has caused it to be delivered.
TRDNM_RE
Page 1 of 2
Rev. 1/01/2008
Form must be filed electronically.
Paper forms are not accepted.
This copy is a sample and cannot be submitted for filing.
Statement of Trade Name of a Reporting Entity
filed pursuant to §7-71-103 and §7-71-107 of the Colorado Revised Statutes (C.R.S)
1. For the reporting entity delivering this statement, its ID number, true name, form of entity and the
jurisdiction under the law of which it is formed are
ID Number
_________________________
(Colorado Secretary of State ID number)
True name
______________________________________________________
Form of entity
______________________________________________________
Jurisdiction
______________________________________________________.
2. The trade name under which such entity transacts business or conducts activities or contemplates
transacting business or conducting activities in this state is
______________________________________________________________________________________.
3. A brief description of the kind of business transacted or activities conducted or contemplated to be
transacted or conducted in this state under such trade name is
______________________________________________________________________________________.
4.
(If the following statement applies, adopt the statement by marking the box and include an attachment.)
This document contains additional information as provided by law.
5.
(Caution: Leave blank if the document does not have a delayed effective date. Stating a delayed effective date has
significant legal consequences. Read instructions before entering a date.)
(If the following statement applies, adopt the statement by entering a date and, if applicable, time using the required format.)
The delayed effective date and, if applicable, time of this document are ____________________________.
(mm/dd/yyyy hour:minute am/pm)
Notice:
Causing this document to be delivered to the Secretary of State for filing shall constitute the affirmation or
acknowledgment of each individual causing such delivery, under penalties of perjury, that such document is
such individual's act and deed, or that such individual in good faith believes such document is the act and deed
of the person on whose behalf such individual is causing such document to be delivered for filing, taken in
conformity with the requirements of part 3 of article 90 of title 7, C.R.S. and, if applicable, the constituent
documents and the organic statutes, and that such individual in good faith believes the facts stated in such
document are true and such document complies with the requirements of that Part, the constituent documents,
and the organic statutes.
This perjury notice applies to each individual who causes this document to be delivered to the Secretary of
State, whether or not such individual is identified in this document as one who has caused it to be delivered.
TRDNM_RE
Page 1 of 2
Rev. 1/01/2008
6. The true name and mailing address of the individual causing this document to be delivered for filing are
____________________ ______________ ______________ _____
(Last)
(First)
(Middle)
(Suffix)
______________________________________________________
(Street number and name or Post Office Box information)
______________________________________________________
_
_
__
__________________________
____________________
(City)
(State)
(Postal/Zip Code)
_______________________ ______________.
(Province – if applicable)
(Country – if not US)
(If the following statement applies, adopt the statement by marking the box and include an attachment.)
This document contains the true name and mailing address of one or more additional individuals
causing the document to be delivered for filing.
Disclaimer:
This form/cover sheet, and any related instructions, are not intended to provide legal, business or tax advice,
and are furnished without representation or warranty. While this form/cover sheet is believed to satisfy
minimum legal requirements as of its revision date, compliance with applicable law, as the same may be
amended from time to time, remains the responsibility of the user of this form/cover sheet. Questions should
be addressed to the user’s legal, business or tax advisor(s).
TRDNM_RE
Page 2 of 2
Rev. 1/01/2008
Page of 2