Fictitious Business Name Statement | Pdf Fpdf Doc Docx | California

Fictitious Business Name Statement

Fictitious Business Name Statement | Pdf Fpdf Doc Docx | California

Fictitious Business Name Statement Form

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This is a California form that can be used for County Clerk within Local County, Sonoma.

Last updated: 5/30/2015
Office of the Sonoma County Clerk-Recorder 2300 County Center Dr., B177 Santa Rosa, CA 95403 FICTITIOUS BUSINESS NAME STATEMENT FILING FEE $40.00 for first business name and first owner on statement $ 9.00 for each additional business name filed on same statement and doing business at the same location $ 9.00 for each additional owner Type of Filing: (Check One) Original [Change(s) in facts from previous filing] [No change(s) in facts from previous filing] New Filing Refile Previous file # THE FOLLOWING PERSON (PERSONS) IS (ARE) DOING BUSINESS AS: (Please Print or Type) * Fictitious Business Name (please number if more than one business name) ** Street address of principal place of business Mailing Address, if different City State Zip County City State Zip ***REGISTERED OWNER(S): (If more than four owners, attach additional sheet showing owner information) 1. Full Name Residence Address City State Zip 2. Full Name Residence Address City State Zip If Corporation or LLC ­ Print State of Incorporation/Organization If Corporation or LLC ­ Print State of Incorporation/Organization Full Name Full Name 3. Residence Address City State Zip 4. Residence Address City State Zip If Corporation or LLC ­ Print State of Incorporation/Organization If Corporation or LLC ­ Print State of Incorporation/Organization ****THIS BUSINESS IS CONDUCTED BY: (Check one) An Individual Married Couple Joint Venture [1 requires registration with the CA Secretary of State] A General Partnership A Limited Partnership 1 A Corporation 1 A Limited Liability Company 1 A Trust Copartners Limited Liability Partnership (Insert N/A if you haven`t started to transact business) An Unincorporated Association other than a Partnership State or Local Registered Domestic Partners *****The registrant commenced to transact business under the fictitious business name or names listed above on I declare that all information in this statement is true and correct. A registrant who declares as true any material matter pursuant to this section that the registrant knows to be false is guilty of a misdemeanor punishable by a fine not to exceed one thousand dollars ($1,000). Signature of Registrant Printed Name and Title (Printed Name and Title of Person Signing - See instructions for authorized signatories/titles) This statement was filed with the County Clerk-Recorder of Sonoma County on the date indicated by the filing stamp in the upper right hand corner. NOTICE: IN ACCORDANCE WITH SUBDIVISION (A) OF SECTION 17920, A FICTITIOUS BUSINESS NAME STATEMENT GENERALLY EXPIRES AT THE END OF FIVE YEARS FROM THE DATE ON WHICH T WAS FILED IN THE OFFICE OF THE COUNTY CLERK-RECORDER, EXCEPT, AS PROVIDED IN SUBDIVISION (B) OF SECTION 17920, WHERE IT EXPIRES 40 DAYS AFTER ANY CHANGES 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 THE 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). I HEREBY CERTIFY THAT THIS COPY IS A CORRECT COPY OF THE ORIGINAL STATEMENT ON FILE IN MY OFFICE. William F. Rousseau, Sonoma County Clerk-Recorder By: , Deputy FBN American LegalNet, Inc. www.FormsWorkFlow.com Rev. 11/2013 INSTRUCTIONS FOR COMPLETION OF STATEMENT BUSINESS AND PROFESSIONS CODE SECTION 17913: * Where one asterisk appears in the form: (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 ** Where two asterisks appear in the form: (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 *** Where three asterisks appear in the form: (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 to the marriage (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 **** Where four asterisks appear in the form: (a) Check whichever of the terms listed on the front of the form best describes the nature of the business ***** Where five asterisks appear in the form: (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 BUSINESS AND PROFESSIONS CODE SECTION 17914 The statement shall be signed as follows: (a) If the registrant is an individual, by the individual (b) If the registrants are a married couple, by either party to the marriage (c) If the registrant is a general partnership, limited partnership, limited liability partnership, copartnership, joint venture, or unincorporated association other than a partnership, by a general partner (d) If the registrant is a