INSTRUCTIONS: ND TRADE NAME REGISTRATION/FRANCHISE NAME DISCLOSURE

Any corporation or limited liability company operating under a trade name needs to file this form with the Secretary of State. A trade name does not include any of the following:

1. True name of organization

2. First name or surname of person using the trade name

3. The surname of every individual with a repeat surname if owners have the same surname

“ND Trade Name Registration/Franchise Name Disclosure Step 1”

Check the appropriate box in item 2. If you check yes “Yes,” list the name, address, and phone number of the franchiser or licensor and check the appropriate box in the next set of boxes.

“ND Trade Name Registration/Franchise Name Disclosure Step 2”

In item 3, enter the name for registration or the licensed franchise name. The name cannot contain any of the following words: corporation, company, incorporated, limited liability company, limited, bank, banker, banking, trust, trust company, or any abbreviations of these terms.

“ND Trade Name Registration/Franchise Name Disclosure Step 3”

List the complete addresses of the place of business where the franchise name is listed in item 4. List the street, PO box, state, and zip+4.

“ND Trade Name Registration/Franchise Name Disclosure Step 4”

Provide a detailed explanation for the nature of business in item 5. Next, check the appropriate box in item 6 indicating if the franchise name is issued to an individual, husband and wife, corporation incorporated, limited liability company, or other. If you choose corporation of limited liability company, provide the state as well.

“ND Trade Name Registration/Franchise Name Disclosure Step 5”

Enter the telephone number of the franchise owner item 7. If there is a toll-free number, list the number in item 8. Next, provide the name, social security number, and complete address for all individuals or companies using the trade name in item 9.

“ND Trade Name Registration/Franchise Name Disclosure Step 6”

All of the owners or franchisees need to sign the bottom of this form. Make sure to provide a name, email address, and telephone number for correspondence in item 11.

“ND Trade Name Registration/Franchise Name Disclosure Step 7”

The filing fee for this form is $25.00. Make a check payable to Secretary of State. You can fax or mail the form. If mailing the form, use the following address:

Secretary of State

State of North Dakota

600 E Boulevard Ave Dept 108

Bismarck, ND 58505-0500