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Gary W. Freeman; Recolrder 1 County Clerk -- <br /> County of San Joaquin - --- — -- <br /> 6 South EI Dorado St., 2nd Floor DOC$$ 2006 g238�.' 4 <br /> Stockton, CA 95202 06/0.7/20015 <br /> (209)468-3939 <br /> SEE REVERSE SIDE FOR INSTRUCTIONS Conformed Copy <br /> First Filing ❑ Renewal Filing <br /> ❑ Refile-Change from previous filing, publication required <br /> GARY FREEMAN <br /> County of San Joaquinnty Clerk <br /> REMINDER <br /> Assessor-Recorder-Cou <br /> 1. Submit original and 2 copies. <br /> 2. The$25 fiting fee includes one owner and one business name. <br /> 3. Add$5 for each additional owner or partner. <br /> 4. Add$5 for each additional business name located at the same address <br /> 5. If filing by mail,please enclose a self addressed,stamped,return <br /> envelope <br /> 6. Attach separate page for additional names space above for use of County clerk Only <br /> FICTITIOUS BUSINESS NAME STATEMENT—PLEASE TYPE OR PRINT LEGIBLY/FIRMLY IN BLACK INK: <br /> A FICTITIOUS BUSINESS NAMES) <br /> Street Address of Principal place of Business tPo.Box not acceptable) City i State j Zip ff <br /> 1 l,`'- i , '1 f�. C..'F-u;,aC,. 4:-1 {��'1"�.+�' �t;�i 9.;4 r i'.a <br /> B Mailing Address(optional) k 7 City 1 State p Zi <br /> '~'3➢ ��' J 4 ? - {.1 f I j:r�G.. 'S"j�. i z r..^.,.✓ ? 11 L- r� +.,. 5.:..{-d �LGp <br /> Oli Name of Registrant(it Registrant is aCorporanon,snow corporation name) 01i Name of Registrant <br /> tcl- <br /> Reside e�Streett Address(P.O.Box not acceptable) rijAr r Residence Street Address(P.O.Box not acceptable) <br /> City State Zip City State Zip <br /> r� r�( � <br /> � •: �� ��1,11„:�,,,�`,, (114 <br /> (If a corporation,show state of incorporation) {it a corporation,show stale of incorporation) <br /> ri <br /> (3)Full Name of Registrant ®Full Name of Registrant <br /> Residence Street Address(P.O.Box not acceptable) Residence Street Address(ii Box not acceptable) <br /> City State Zip City State -1- Zip <br /> (II a corporation,show sfate:of-incorporation) (if a corporation,show state of incorporation) <br /> This Business is M-wMndividual ❑ joint venture ❑a limited partnership ❑an unincorporated association other <br /> D conducted by: ❑husband and wife ❑a corporation ❑a general partnership than a partnership <br /> (Check only one) ❑co-partners ©a business trust ❑limited Ilability company ❑other-please specify <br /> (Check only one) <br /> E ❑Th. registrant commenced to transact business under the fictitious business name or names listed above on <br /> R' egistrant has not yet begun to transact business under the fictitious business name or names listed. (date) <br /> I declare that all information in this statement is true and correct (A registrant NOTICE-THIS FICTITIOUS BUSINESS NAME STATEMENT,EXPIRES <br /> who declares as true inforr�atiq,a which he or she knows to be false is guilty of FIVE YEARS FROM THE BATE IT.WAS FILED IN THE OFFICE OF THE <br /> It crime-) .k' �' w,, '� �,• COUNTY CLERK.A NEW STATEMENT MUST.BE.FILET}BEFORE THAT <br /> f �� �" .. TIME.The fiting of this statement does not of itself authorix2;ltae•use in this <br /> ` }�""' � ,` state of a fictitious business name in violation of Ift rights-of-anothei under <br /> THIS STATEMENT WAS FILED_ WITH THE RECORDER 1 COUNTY CLERK federal, state, or common law (see Section:144�1-,,et segT�bu$i'ness and <br /> OF SAN JOAQUIN COUNTY ON THE DATE INDICATED BY THE FILE professions Code). �- <br /> STAMP ABOVE. <br /> It registrant is a corporation,officer signs below <br /> I hereby certify that this copy is a correct copy of the original statement on' <br /> Corporation Name file in my office. ; <br /> F Date Incorporated Slate Gary W.F e an Asses ecorderlColllnty_Clerk <br /> Signature and Title Deputy--' <br /> Type or Print Officer's Name nk Copy-Retarder Signature Required <br /> San Joaquin County AssessoriRecorder/County Clerk 9120 3) <br /> Original-Recorder Yellow-Newspa Pink-Bank <br /> (11105) <br />