Fictitious Business Name Statement

  * required FieldIF MORE THAN FOUR OWNERS, PLEASE COME TO OUR OFFICE FOR ASSITANCE.
*   Original   New Filing [Change(s) in facts from previous filing]   Refile [No Change(s) in facts and expired within the last 40 days]
The following person (persons) is (are) doing business as:

Business and Professions Code Section 17913:

(a) Insert the fictitious business name or names

(b) Only those businesses operated at the same address and under the same ownership may be listed on one statement






Business and Professions Code Section 17913:

(a) If the registrant has a place of business in this state, insert the street address and county of his or her principal place of business in this state

(b) If the registrant has no place of business in this state, insert the street address and county of his or her principal place of business outside this state and file with the Clerk of Sacramento County (B&P 17915)

(c) Mail Box and Post Office Box Numbers are not acceptable as a business address when used alone without a street address

         
           
Registered Owners: Business and Professions Code Section 17913:

(a) If the registrant is an individual, insert his or her full name and residence address

(b) If the registrants are a married couple, insert the full name and residence address of both parties

(c) If the registrant is a general partnership, copartnership, joint venture, limited liability partnership, or unincorporated association other than a partnership, insert the full name and residence address of each general partner

(d) If the registrant is a limited partnership, insert the full name and residence address of each general partner

(e) If the registrant is a limited liability company, insert the name and address of the limited liability company, as set out in its articles of organization on file with the CA Secretary of State, and the state of organization

(f) If the registrant is a trust, insert the full name and residence address of each trustee

(g) If the registrant is a corporation, insert the name and address of the corporation, as set out in its articles of incorporation on file with the CA Secretary of State, and the state of incorporation

(h) If the registrants are state or local registered domestic partners, insert the full name and residence address of each domestic partner






Registered Owners: (Additional)




THIS BUSINESS IS CONDUCTED BY:*
  an Individual   a General Partnership   a Limited Partnership   a Limited Liability Company   an Unincorporated Association other than a Partnership   a Corporation
  a Trust       Copartners       Married Couple       Joint Venture       State or Local Registered Domestic Partners       a Limited Liability Partnership
The registrant commenced to transact business under the fictitious business name or names listed above on Business and Professions Code Section 17913:

a) Insert the date on which the registrant first commenced to transact business under the fictitious business name or names listed, if already transacting business under that name or names

(b) Insert N/A if you have not yet commenced to transact business under the fictitious business name or names listed


(Insert N/A if you haven’t started to transact business)
I, ,  

If corporation, also enter corporate title of officer.

If LLC, also enter title of officer or manager.

declare that all information in this statement is true and correct. (A registrant who declares as true any material matter pursuant to B&P 17913 that the registrant knows to be false is guilty of a misdemeanor punishable by fine not to exceed one thousand dollars ($1,000).      

Contact Phone #(555-555-5555)
NOTICE – IN ACCORDANCE WITH SUBDIVISION (a) OF SECTION 17920, A FICTITIOUS NAME STATEMENT GENERALLY EXPIRES AT THE END OF FIVE YEARS FROM THE DATE ON WHICH IT WAS FILED IN THE OFFICE OF THE COUNTY CLERK, EXCEPT, AS PROVIDED IN SUBDIVISION (b) OF SECTION 17920, WHERE IT EXPIRES 40 DAYS AFTER ANY CHANGE IN THE FACTS SET FORTH IN THE STATEMENT PURSUANT TO SECTION 17913 OTHER THAN A CHANGE IN THE RESIDENCE ADDRESS OF A REGISTERED OWNER. A NEW FICTITIOUS BUSINESS NAME STATEMENT MUST BE FILED BEFORE THE EXPIRATION.
THE FILING OF THIS STATEMENT DOES NOT OF ITSELF AUTHORIZE THE USE IN THIS STATE OF A FICTITIOUS BUSINESS NAME IN VIOLATION OF THE RIGHTS OF ANOTHER UNDER FEDERAL, STATE, OR COMMON LAW (SEE SECTION 14411 ET SEQ., BUSINESS AND PROFESSIONS CODE).