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Fictitious Business Name Statement (San Bernardino) - California

Fictitious Business Name Statement (San Bernardino) Form. This is a California form and can be used in Recorder Division San Bernardino Local County .
 Fillable pdf Last Modified 1/7/2013
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San Bernardino County Recorder - Clerk 222 W. Hospitality Lane, 1st Floor San Bernardino CA 92415-0022 855 REC-CLRK www.sbcounty.gov/arc PUBLICATION IS REQUIRED IF FIRST TIME FILING, REFILING WITH CHANGES, OR FILING EXPIRED FICTITIOUS BUSINESS NAME STATEMENT First Filing NEW FILING - this is a: ABANDONMENT: County of Original Filing New Amended Filing Date of Original Filing Renewal File No. Fee $55.00 Includes one registrant (please make check payable to "County Clerk") $10.00 ea. additional FBN name filed on same statement and operating at same location. $10.00 ea. additional registrant Please TYPE or PRINT legibly and firmly in DARK ink (no alterations). See reverse side for filing and publishing instructions. The determination whether or not publication is required by law is ENTIRELY THE RESPONSIBILITY OF THE REGISTRANT. Neither the County Clerk nor his deputies are permitted by law to give legal advice and/or assistance. THE FOLLOWING PERSON(S) IS (ARE) DOING BUSINESS AS: 1 2 LIST FICTITIOUS BUSINESS NAME BELOW (as shown in the Articles of Inc./Org./Reg.) Franchise No. (if applicable) County of Principal Place of Business Street Address of Principal Place of Business (P.O. Box or PMB address NOT acceptable) City State Zip Code Mailing Address (Optional) City State Zip Code (1) Name of Individual Registrant (First name) (Middle initial only) (Last name) (1) Name of corporation or limited liability company as shown in the Articles of Inc./Org./Reg. State of Inc./Org. / Reg. Inc./Org./Reg. No. Residence Street Address/Corporation or LLC Street Address City State Zip Code 3 (2) Name of Individual Registrant (First name) (Middle initial only) (Last name) (2) Name of corporation or limited liability company as shown in the Articles of Inc./Org./Reg. State of Inc./Org. / Reg. Inc./Org./Reg. No. Residence Street Address/Corporation or LLC Street Address City State Zip Code List any additional names on additional form (CHECK ONE ONLY) This business is/was conducted by (if corporation or limited liability company, registrant must include copy of "Articles of Incorporation", "Articles of Organization" or "Articles of Registration"): 4 An Individual A General Partnership A Limited Partnership A Limited Liability Company A Limited Liability Partnership An Unincorporated Assoc. Other Than a Partnership A Corporation (include "Articles of Incorporation) Copartners A Married Couple State or Local Registered Domestic Partners A Joint Venture A Trust 5 (CHECK ONE ONLY) enter date ONLY if first box is checked: Registrant commenced to transact business under the fictitious business name or names listed above on (do not enter a future date) Registrant has not yet begun to transact business under the fictitious business name or names listed herein. Month Day Year BY SIGNING BELOW, I DECLARE THAT I HAVE READ AND UNDERSTAND THE REVERSE SIDE OF THIS FORM AND THAT ALL INFORMATION IN THIS STATEMENT IS TRUE AND CORRECT. A registrant who declares as true information, which he or she knows to be false, is guilty of a crime. (B&P Code 17913) I am also aware that all information on this statement becomes public record upon filing pursuant to the California Public Records Act (Government Code Sections 6250-6277). Sign below (see instructions on reverse for signature requirements): Print Name (as appears on this statement) of Registrant: Printed Name of Person Signing: By Signature: Print Title of Person Signing: Date: 6 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. Rev. 01/01/13 American LegalNet, Inc. www.FormsWorkFlow.com PURPOSE OF FILING - B&P CODE 17900(a)(1) To make available to the public the identities of those persons doing business under the fictitious name. REQUIREMENTS FOR FILING THE FICTITIOUS BUSINESS NAME (FBN) STATEMENT - B&P CODE 17910, 17915, 17920 Every person who regularly transacts business in this state for profit under a fictitious business name shall file a fictitious business name statement not later than 40 days from the time he commences to transact such business. The registrant shall file a new statement on or before the date of expiration of each FBN statement or after any change in the facts (except for a change of residence address). The statement shall be filed with the clerk of the county in which the principal place of business is located. If the principal place of business is outside the state, the statement shall be filed with the Clerk of Sacramento County. INSTRUCTIONS FOR COMPLETING THE STATEMENT - B&P CODE 17913 1. Insert the fictitious business name. If you want to file more than one business name, number each name and use the clerk's "Additional Names Information" form to list additional names. Only those businesses operated at the same address and under the same ownership may be listed on one statement. · The name cannot include Corporation, Corp., Incorporated, or Inc., unless the registrant is a corporation. · The name cannot include the initials LLC, LC or the words limited liability company (whether using the complete words or the abbreviations Ltd. Or Co.), unless the registrant is a limited liability company registered with the State. · The name cannot include limited partnership or LP, unless the registrant is a limited partnership registered with the State. · The name cannot include registered limited liability partnership or RLLP, unless the registrant is a registered limited liability partnership registered with the State. · The name cannot include limited liability partnership or LLP, unless the registrant is a limited liability partnership registered with the State. If the name includes any of the above words, the registrant MUST submit a copy of the articles of incorporation/organization/registration. · The name cannot include college or university, un
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