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-Ill .---.-File-Amendmentor Renewal -:, --Order-eopies..-- --- Ordera-Certificate
; Minnesota Business Name
I DOUGLAS JOSEPH HERICH
Business Type MN StatuteAssumed Name $3Fite Number Fiting Date760187200023 5/12t2014
status Renewal Due Date:Active/fn cood Standing 12t31't2}1i
Registered Agent(s) principal place of Business Address(Optional) None provided $5 E Albertoni Str #200.t04
Carson CA 90746USA
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Nameholder
Herich, Douglas Joseph
Nameholder Address
335 E Albertoni Str #200-404, Carson. CA 90246
Filing History
Filing History
511212014 Original Filing - Assumed Name
Office of the MN Secretary of State Home System Requirements Additional MBLS InformationPage
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Copyright 2011 I Secretary of State of Minnesota I All righis reserved
http://mblsportal.sos.state.mn.us/Business/SearchDetails?filingGuid:b5b96f30-b0da-e3 1 l -... 5lI4l20l4
2. Principal Place ofBusiness: (Required)
335 E. ALBERTONI STREET, SUITE 2OO4O4
A t\r-lriynel
CARSON CA 90746
ffiilfrtmtilHIflilililffiilil76018720002
Office of the Minnesota Secretary of StateAssumed Name J Certificate of Assumed Name
Minnesota Stuutes, Chapter 33i
Reed the instructioos before completing this form.
Filing Fee: $50 tor expedited service in-person and online filings, $30 if submitted by m
Note: An Annual Renewal is required to be liled once ev€ry calendar year, beginning in the calendar yearfollorving the original liling with the Secretary of State.
The filing of an assumed name does not provide a user with exclusive rights to that name. The filing is re quired forconsumer protection in order to enable consumers to be able to identifr the tue owner of a business.
l. List the exact assumed name under which the business is or will be conducted: (Required)
DOUGLAS JOSEPH HERICH
Street Address (A PO Box by itself is not acceptable) City State zip
3. List the name and complete street address of all persons conducting business under the above Assumed Name, OR ifan entity, provide the legal corporate, LLC, or Limited Partnership name and registered office address: (Required)
Note: A PO Box by itself is not acceptable. Attach additional sheet(s) if necessary.
Herich, 335 E. Albertoni St., Ste. 200404 Carson cA 90746
Street zipCity
Name Street City State Zip
Name Street State Zip
4. I, the undersigned, certif, that I am signing this document as the person whose signature is required, or as agent of the
person(s) whose signature would be required who has authorized me to sign this document on his/her behalf, or in both
capacities. I further certifo that I have completed all required fields, and that the information in this document is true and
City
corect and in compliance with the applicable chapter of Minnesota Statutes. I understand that by signing this document
I am subject jo the a5 sgl ip Section 60ff8 as if I had signed this document under oath
Signature (Only bne'nameholder pl an is required to sign)
Herich, - cEoPrint Name and Title
Email Address for Oflicial NoticesEhler an email address to which the Secretary of State can fonvard official notices required by law and other notices:
E Ctreck here to have your email address excluded from requests for bulk data, to the extent allowed by Minnes,ota taw.
rd that by signing this document /is document under oath. /5 ,{fla, ,. zD/a/ (
ffi
Offrce of the Minnesota Secretary of StateAssumed Name I certlticate ot Assumed llame
Minnesota Sta7,da, ChaPler 333
List a name and daytime phone number of a person who can be contacted about this form:
Contact Name
fu./
424-264-8752
Phone Number
Entities thal own, lease, or have any financial interest in agricultural land or land capable of being farmed
must register with the MN Dept of Agriculture's Corporate Farm Program'
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/ls sum edN ame Regis lro t ion Re'p. 7 / I 5 12 0 I i
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