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Authority: Department of State - Business Services DivisionSource: docs.sos.ri.gov official record · retrieved 2026-09-05

Supporting excerpt

Department of State - Business Services Division

abandonment: Statement of Abandonment of Use of Fictitious Business Name DOMESTIC or FOREIGN Limited Liability Company STAMP FOR SECRETARY OF STATE USE ONLY Filing Fee: $50.00 Pursuant to the provisions of RIGL 7-16-9, the undersigned limited liability company hereby abandons the use of a fictitious business name in the transaction of business in the state of Rhode Island and submits the following:Source: docs.sos.ri.gov official record · retrieved 2026-09-05

Supporting excerpt

! State of Rhode Island Department of State - Business Services Division This legal document should be typed. All illegible documents will be REJECTED. Instructions for Filing Limited Liability Company Statement of Abandonment of Use of Fictitious Business Name Section 7-16-9 of the General Laws of Rhode Island, 1956, as amended The attached form is designed to meet minimal statutory filing requirements pursuant to the relevant statutory provision. This form and the information provided are not substitutes for the advice and services of an attorney and/or tax specialist. All filings are public records under RIGL 38-2-1, et seq. This means all information is available to the public by a variety of methods including, without limitations, inspections at our office, telephone inquiries and electronically through our online database. How to complete the form: How to pay the filing fee: 1. List the entity’s ID number. The ID number can be found by looking up your entity in the Corporate Database. The filing fee is payable either by mail via check made payable to RI Department of State or in person via cash, credit card, or check at the Business Services Division, 148 W. River Street, Ste. 1, Providence, RI 02904. Contact our office at (401) 222-3040 for further information. 2. List the name of the limited liability company. The entity name can be verified through our Corporate Database. If the entity name has changed an amendment, form 401 or form 451, must be filed with this office. Electronic filing may be available. 3. List the fictitious business name the entity would like to abandon. 4. List the date when the original fictitious business name statement was filed. 5. List the state or country of formation. 6. Domestic entities MUST list the date of organization. Foreign entities MUST list the date of registration in Rhode Island. The entity’s date of formation/registration can be verified through our Corporate Database. 7. An Authorized Person of the limited liability company MUST sign and date the form. How to confirm your filing: Entity records are retrievable and viewable through our website. Successful filings will NOT result in a mailed confirmation. Filings that cannot be processed will be posted online and then returned. To confirm your submission and obtain evidence of your filing: • Go to our Corporate Database. • Enter the name or ID number of your entity and click “Search.” • Click on the link to your entity record, scroll down, select “All Filings” and then “View Filing.” • Identify the desired type of filing and click on “PDF” under “View PDF” to view and print the record. FORM 625B - Revised: 01/2024 State of Rhode Island Department of State - Business Services Division Statement of Abandonment of Use of Fictitious Business Name DOMESTIC or FOREIGN Limited Liability Company STAMP FOR SECRETARY OF STATE USE ONLY Filing Fee: $50.00 Pursuant to the provisions of RIGL 7-16-9, the undersigned limited liability company hereby abandons the use of a fictitious business name in the transaction of business in the state of Rhode Island and submits the following: 1. Entity ID Number: 2. The name of the Limited Liability Company is: 3. The fictitious business name to be abandoned is: 4. The date when the original fictitious business name statement was filed is: 5. The state or country the entity is formed is: 6. The date of formation is: 7. Under penalty of perjury, I declare that the information contained herein is true and correct. Name of Applicant Limited Liability Company Date Signature of Authorized Person MAIL TO: Division of Business Services 148 W. River Street, Providence, Rhode Island 02904-2615 Phone: (401) 222-3040 Website: www.sos.ri.gov If you have any questions, please call us at (401) 222-3040, Monday through Friday, between 8:30 a.m. and 4:30 p.m., or email corporations@sos.ri.gov. STAMP FOR SECRETARY OF STATE USE ONLY FORM 625B - Revised: 01/2024 State of Rhode Island Department of State - Business Services Division Filer Contact Information In the event our office needs more information in order to complete the filing of this document, we ask for the filer’s contact information. All fields are REQUIRED. Name: Date: Entity Name: Street Address: City: State: Email Address: If you have any questions, please call us at (401) 222-3040, Monday through Friday, between 8:30 a.m. and 4:30 p.m., or email corporations@sos.ri.gov. Zip Code: Phone Number: FORM 625B - Revised: 01/2024