The company shall submit the following to the Department:
- A certified copy (full and complete set) of the fictitious name certificate or something from the domestic state acknowledging the fictitious name or dba;
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- A brief description of any other material change in the company's corporate existence prior or subsequent to the proposed addition of a dba (ie. merger, acquisition, redomestication, etc.). If none occurred, so state in the letter.
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- for any Officer and/or Director not currently on file with the Department and a list of all officers and directors.
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- In view of the addition of a dba, confirm the following information concerning the company:
- Federal Employer's Identification Number
- ³Ô¹ÏºÚÁÏ Office Address
- Mail Address
- Telephone Number (general operator's number)
- Effective Date of dba
- Company President
- Company Secretary
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This information must be sent directly to the:
Department of Banking and Insurance
Attention: Third Party Billing Services, 8th Floor
PO Box 325
Trenton, NJ 08625-0325
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