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FICTITIOUS BUSINESS NAME STATEMENT - …

275 321 [Rev. 03/18] STEVE MANNING, Alameda County Clerk-Recorder 1106 Madison Street, Oakland, CA 94607 Telephone: (510) 272-6362 Website: FICTITIOUS BUSINESS name STATEMENT Pursuant to BUSINESS and Professions Code Sections 17900 17930 PLEASE NOTE: YOU WILL BE REQUIRED TO PRESENT A VALID GOVERNMENT ISSUED PHOTO ID TO FILE THIS STATEMENT IN PERSON. TYPE OR PRINT LEGIBLY AND FIRMLY IN BLACK OR DARK BLUE INK ONLY FILE NUMBER: _____ PLEASE READ INSTRUCTIONS ON BACK OF THIS FORM (Do not write above this line) A. * Print FICTITIOUS BUSINESS name (please number if more thanone businessname) B. ** Street address of principal place of BUSINESS MailingAddress,if dif ferent City State Zip CountyCity StateZip C. **REGISTERED OWNER(S): (If more than four owners, attach the Additional Information Form showing owner s information) D.

275‐321 [rev. 03/18] instructions for completion of fictitious business name statement the information below is not to be published (sec. 17924, b&p) ...

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