Certificate of Persons Conducting Business Under Assumed Name STATE OF

Certificate of Persons Conducting Business Under Assumed Name STATE OF MICHIGAN, } County of Saginaw } The undersigned hereby certified that they now own...(or) intend...to own, conduct or transact business at In the (Number and Street) (City, Village or Township) Saginaw County, Michigan, under the assumed name, designation and style of The mailing address of the business: , PRINT OR TYPE NAMES AND ADDRESS STREET ADDRESS , (Number and Street) (City), (State) (Zip Code) 1 The undersigned further certifies that the true or real full name and the address of the person owning, conducting or transacting said business is: NAME CITY OR TOWN In Witness Whereof, I/We have this , made and signed this certificate. SIGNATURES OF PERSONS CONDUCTING BUSINESS UNDER ASSUMED NAME STATE OF MICHIGAN, } On before me, a County of Saginaw } Notary Public, personally appeared the above named person or persons, whose signatures appear above, and who executed the foregoing instrument, and they acknowledged to me that they executed the same, and that they are all of the persons now owning, conducting and transacting or who intend to own, conduct and transact the business under the above name, style and designation. Notary Public, County, Michigan My commission expires: THIS CERTIFICATE EXPIRES FIVE YEARS FROM DATE OF FILING WITH COUNTY CLERK (This portion to be filled in only by the County Clerk) Expiration Date ___________________ STATE OF MICHIGAN, } I, Susan Kaltenbach, Clerk of the County aforesaid and County of Saginaw } Clerk of the Circuit Court for said County, do hereby certify that I have compared the within copy of Certificate setting forth the full names of the persons owning, conducting or transacting business under the name of together with the certificate of filing endorsed thereon, with the original Certificate heretofore filed and now remaining in my office, and that it is a true and correct copy thereof, and of the whole of such original Certificate and of said certificate of filing. In Testimony Whereof, I have hereunto set my Hand and affixed the seal of said Circuit Court On _____________________________________________________ Seal ________________________________________________________ Susan Kaltenbach, County Clerk. NOTE. By _____________________________________________________ Deputy County Clerk. This Certificate must be renewed within (5) years from date. If you change your place of business you must notify this office by filing a Notice of Change of Business Location. If you change the personnel above listed you must file Notice of Dissolution and a new Certificate with this office. If you discontinue your business you must file Notice of Dissolution with this office. "Person" may be one or more individuals, partnerships, limited partnerships, trusts, fiduciaries or other entity. In case of a person other than an individual, see MSA 19.826 (MCL 445.4) for details to be stated in certificate. 1

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