DOING BUSINESS AS

Street Address & City of Principal Place of Business in California (P.O. Box alone not acceptable) Zip Code

Full name of Registrant (if corporation - incorporated in what state)

Residence Street Address City State Zip Code

Full name of Registrant (if corporation - incorporated in what state)

Residence Street Address City State Zip Code

Full name of Registrant (if corporation - incorporated in what state)

Residence Street Address City State Zip Code

Signature Corporation or Company Name

Business License (s)

BUSINESS FILING AND REGISTRATION

LOS ANGELES, CA

Box A. Insert the name and address of the person who should receive this original and certified copy.

Box 2. Insert exact name of business. If you are registering more than one business located at the same address, number each name entered.

Box 3. Insert street address of principal place of business (Post Office Boxes are not acceptable).

Box 4. Registrants: list each owner or partner and his/her residence address separately (Post Office Boxes are not acceptable). If the owner is a corporation

insert the name of the corporation and the business address. Do not list stockholders or officers of the corporation. If a business name or a registrant’s name

includes the words Corporation, Incorporated, or Inc., Limited Liability Company (whether using the complete words or abbreviations Limited Liability Company and Co. or either of

them) or Limited Liability Company or LC, the County Clerk of Los Angeles requires either a certified copy of the Articles of Incorporation or Organization or an Affidavit signed under

penalty of perjury by one of the officers of the Corporations or Organizations.

Box 5. Check one item which bests describes who is conducting business.

Box 6. Do not leave blank.

Box 7. Signatures are required as follows ( ) individual - the individual ( ) Partnership or other association of other persons - A general partner ( ) Joint Venture

- All parties of the joint venture ( ) Business Trust - A trustee ( ) Co Partners - All partners ( ) Husband and Wife.

Box 7A. Corporation/Limited Liability Co. - An officer must sign, state the title, and attach a copy of the Articles of Incorporation or Affidavit signed under

penalty of perjury by an officer.

The filing of any Business License by a person required to file such statement shall establish a rebuttable presumption that the registrant has

the exclusive right to use the Business License as a trade name as well as any confusingly similar trade name, in the county in which the statement is

filed, if the registrant is the first to file such a statement containing the Business License in the county. The rebuttable presumption shall be applicable

until the statement is abandoned or otherwise expires and no new statement has been filed by the registrant.

(a)- as used in this chapter, ‘Business License ’ means:

(1) In the case of an individual, a name that does not include the surname of the individual or a name that suggests the existence of additional

owners.

(2) In the case of a partnership or other association of persons, other than a limited partnership which has filed a certificate of limited partnership

with the Secretary of State pursuant to Section 15621 of the Corporations Code, a name that does not include the surname of each general

partner or a name that suggests the existence of additional owners.

(3) In the case of a corporation, any name other than the corporate name stated in its articles of incorporation.

(4) In the case of a limited partnership which has filed a certificate of limited partnership with the Secretary of State pursuant to Section 15621 of

the Corporations Code and in the case of a foreign limited partnership which has filed an application for registration with the Secretary of State

pursuant to Section 15621 of the Corporations Code, any name other than the name of the limited partnership as on file with the Secretary of

State.

(b) A name that suggests the existence of additional owners within the meaning of subdivision (a) is one which includes such words as ‘Company’,

‘& Company,’ ‘Son,’ ‘& Associates,’ ‘Brothers,’ and the like, but not words that merely describe the business being conducted.

SECTION 17910 - Every person who regularly transacts business in this state for profit under a Business License shall:

(a) File a Business License in accordance with this chapter not later than 40 days from the time he commences to transact such

business; and

(b) File a new statement in accordance with this chapter on or before the date of expiration of the statement on file.

(a) No person shall adopt any Business License which includes ‘Corporation,’ ‘Incorporated,’ or ‘Inc,’ unless such person is a corporation

organized pursuant to the laws of this state or some other jurisdiction.

(b) No person shall adopt any Business License which includes "Limited Liability Company" (whether using the complete words or the

abbreviations "LTD and Co." or either of them) or "Limited Liability Company " or "LC" unless such a person is a Limited Company organized pursuant to the laws of this

state or some other jurisdiction.

(a) Within 30 days after a Business License has been filed pursuant to this chapter, the registrant shall cause a statement in the form

prescribed by subdivision (a) of Section 17913 to be published pursuant to Government Code Section 6064 (once per week for four successive

weeks) in a newspaper of general circulation in the County in which the principal place of business of the registrant is located or, if there is no such

newspaper in that county, then in a newspaper of general circulation in an adjoining county. If the registrant does not have a place of business in this

state, the notice shall be published in a newspaper of general circulation in Sacramento County.

(b) Subject to the requirements of subdivision (a), the newspaper selected for the publication of the statement should be one that circulates in the

area where the business is to be conducted..

(c) If a refilling is required because the prior statement has expired, the refilling need not be publishes unless there has been a change in the

(d) An affidavit showing the publication of the statement shall be filed with the county clerk within 30 days after the completion of the publication.

SECTION 17920. Expiration of statement

(a) Unless the statement expires earlier under subdivision (b) or (c), a Business License expires five years from the date it was filed

in the office of the county clerk.

(b) Except as provided in Section 17923, a Business License expires 40 days after any change in the facts set forth in the statement

pursuant to Section 17913, except that a change in the residence address of an individual, general partner or trustee does not cause the statement to

expire.

(c) A Business License expires when registrant files a statement of abandonment of the Business License described in the

statement.

SECTION 17930 - Any person who executes, files, or publishes any statement under this chapter, knowing that such statement is false, in whole or in part,

shall be guilty of a misdemeanor and upon conviction thereof shall be punished by a fine not to exceed one thousand dollars ($1,000).

* NOTE: It is your responsibility not to file the same name or one confusingly similar to one already registered on the County FBN Index or Secretary of State

Corporate Index. We suggest you search available records before filing.

Backer will be screened 50%.