1
For the best experience, open this PDF portfolio in Acrobat X or Adobe Reader X, or later. Get Adobe Reader Now!

Business fictituous firm name final singerssensation company

Embed Size (px)

Citation preview

For the best experience, open this PDF portfolio in Acrobat X or Adobe Reader X, or later.

Get Adobe Reader Now!

Certificate of CompletionEnvelope Number: FA076CF2B386484EBFBDB24AE40DEF7F Status: Completed

Subject: Please DocuSign this document: FFNCert2.pdf

Source Envelope:

Document Pages: 1 Signatures: 3 Envelope Originator:

Certificate Pages: 5 Initials: 0 SHAUN J FEDERICO

AutoNav: Enabled

EnvelopeId Stamping: Enabled

[email protected]

IP Address: 146.135.125.252

Record TrackingStatus: Original

10/12/2012 2:47:40 AM PT

Holder: SHAUN J FEDERICO

[email protected]

Location: DocuSign

Signer Events Signature Timestampmartha baker

[email protected]

Security Level: Email, Account Authentication (None)

Using IP Address: 146.135.125.252

Sent: 10/12/2012 2:52:54 AM PT

Delivered: 10/13/2012 8:42:15 PM PT

Signed: 10/13/2012 8:42:49 PM PT

Consumer Disclosure: Accepted: 10/13/2012 8:42:15 PM PT ID: 33daec20-022e-42f3-9c01-83d7bd1f7b58

NANCY F. MARTIN

[email protected]

Security Level: Email, Account Authentication (None)

Using IP Address: 70.173.152.139

Sent: 10/12/2012 2:52:54 AM PT

Delivered: 10/14/2012 3:00:13 PM PT

Signed: 10/14/2012 3:01:04 PM PT

Consumer Disclosure: Accepted: 10/14/2012 3:00:13 PM PT ID: 637d1523-a790-4e58-8246-3820c94f4909

SHAUN J FEDERICO

[email protected]

President/Creative Director

SINGERS SENSATION COMPANY

Security Level: Email, Account Authentication (None)

Using IP Address: 146.135.125.252

Sent: 10/12/2012 2:52:54 AM PT

Delivered: 10/12/2012 2:53:00 AM PT

Signed: 10/12/2012 2:53:11 AM PT

Consumer Disclosure: Not Offered ID:

In Person Signer Events Signature Timestamp

Editor Delivery Events Status Timestamp

Agent Delivery Events Status Timestamp

Intermediary Delivery Events Status Timestamp

Certified Delivery Events Status Timestamp

Carbon Copy Events Status Timestamp

Envelope Summary Events Status TimestampsEnvelope Sent Hashed/Encrypted 10/12/2012 2:52:54 AM PT

Certified Delivered Security Checked 10/14/2012 3:00:13 PM PT

Signing Complete Security Checked 10/14/2012 3:01:04 PM PT

Completed Security Checked 10/14/2012 3:01:04 PM PT

Consumer Disclosure

CONSUMER DISCLOSURE From time to time, singerssensation.com (we, us or Company) may be required by law to provideto you certain written notices or disclosures. Described below are the terms and conditions forproviding to you such notices and disclosures electronically through your DocuSign, Inc.(DocuSign) Express user account. Please read the information below carefully and thoroughly,and if you can access this information electronically to your satisfaction and agree to these termsand conditions, please confirm your agreement by clicking the æI agreeÆ button at the bottomof this document. Getting paper copies At any time, you may request from us a paper copy of any record provided or made availableelectronically to you by us. For such copies, as long as you are an authorized user of theDocuSign system you will have the ability to download and print any documents we send to youthrough your DocuSign user account for a limited period of time (usually 30 days) after suchdocuments are first sent to you. After such time, if you wish for us to send you paper copies ofany such documents from our office to you, you will be charged a $0.00 per-page fee. You mayrequest delivery of such paper copies from us by following the procedure described below. Withdrawing your consent

If you decide to receive notices and disclosures from us electronically, you may at any timechange your mind and tell us that thereafter you want to receive required notices and disclosuresonly in paper format. How you must inform us of your decision to receive future notices anddisclosure in paper format and withdraw your consent to receive notices and disclosureselectronically is described below. Consequences of changing your mind If you elect to receive required notices and disclosures only in paper format, it will slow thespeed at which we can complete certain steps in transactions with you and delivering services toyou because we will need first to send the required notices or disclosures to you in paper format,and then wait until we receive back from you your acknowledgment of your receipt of suchpaper notices or disclosures. To indicate to us that you are changing your mind, you mustwithdraw your consent using the DocuSign ôWithdraw Consentö form on the signing page ofyour DocuSign account. This will indicate to us that you have withdrawn your consent to receiverequired notices and disclosures electronically from us and you will no longer be able to use yourDocuSign Express user account to receive required notices and consents electronically from usor to sign electronically documents from us. All notices and disclosures will be sent to you electronically Unless you tell us otherwise in accordance with the procedures described herein, we will provideelectronically to you through your DocuSign user account all required notices, disclosures,authorizations, acknowledgements, and other documents that are required to be provided ormade available to you during the course of our relationship with you. To reduce the chance ofyou inadvertently not receiving any notice or disclosure, we prefer to provide all of the requirednotices and disclosures to you by the same method and to the same address that you have givenus. Thus, you can receive all the disclosures and notices electronically or in paper format throughthe paper mail delivery system. If you do not agree with this process, please let us know asdescribed below. Please also see the paragraph immediately above that describes theconsequences of your electing not to receive delivery of the notices and disclosureselectronically from us.

Consumer Disclosure created on: 7/7/2012 4:54:40 AMParties agreed to: martha baker, NANCY F. MARTIN

How to contact singerssensation.com: You may contact us to let us know of your changes as to how we may contact you electronically,to request paper copies of certain information from us, and to withdraw your prior consent toreceive notices and disclosures electronically as follows: To contact us by email send messages to: [email protected] To advise singerssensation.com of your new e-mail address

To let us know of a change in your e-mail address where we should send notices and disclosureselectronically to you, you must send an email message to us at [email protected] andin the body of such request you must state: your previous e-mail address, your new e-mailaddress. We do not require any other information from you to change your email address.. In addition, you must notify DocuSign, Inc to arrange for your new email address to be reflectedin your DocuSign account by following the process for changing e-mail in DocuSign. To request paper copies from singerssensation.com To request delivery from us of paper copies of the notices and disclosures previously providedby us to you electronically, you must send us an e-mail to [email protected] and inthe body of such request you must state your e-mail address, full name, US Postal address, andtelephone number. We will bill you for any fees at that time, if any. To withdraw your consent with singerssensation.com To inform us that you no longer want to receive future notices and disclosures in electronicformat you may:

i. decline to sign a document from within your DocuSign account, and on the subsequentpage, select the check-box indicating you wish to withdraw your consent, or you may;ii. send us an e-mail to [email protected] and in the body of such request youmust state your e-mail, full name, IS Postal Address, telephone number, and accountnumber. We do not need any other information from you to withdraw consent.. Theconsequences of your withdrawing consent for online documents will be that transactionsmay take a longer time to process..

Required hardware and software Operating Systems: Windows2000¬ or WindowsXP¬ Browsers (for SENDERS): Internet Explorer 6.0¬ or above Browsers (for SIGNERS): Internet Explorer 6.0¬, Mozilla FireFox 1.0,

NetScape 7.2 (or above) Email: Access to a valid email account Screen Resolution: 800 x 600 minimum Enabled Security Settings: ò Allow per session cookies

ò Users accessing the internet behind a ProxyServer must enable HTTP 1.1 settings viaproxy connection

** These minimum requirements are subject to change. If these requirements change, we willprovide you with an email message at the email address we have on file for you at that timeproviding you with the revised hardware and software requirements, at which time you will havethe right to withdraw your consent. Acknowledging your access and consent to receive materials electronically To confirm to us that you can access this information electronically, which will be similar to

other electronic notices and disclosures that we will provide to you, please verify that you wereable to read this electronic disclosure and that you also were able to print on paper orelectronically save this page for your future reference and access or that you were able to e-mailthis disclosure and consent to an address where you will be able to print on paper or save it foryour future reference and access. Further, if you consent to receiving notices and disclosuresexclusively in electronic format on the terms and conditions described above, please let us knowby clicking the æI agreeÆ button below. By checking the æI AgreeÆ box, I confirm that:

• I can access and read this Electronic CONSENT TO ELECTRONIC RECEIPT OFELECTRONIC CONSUMER DISCLOSURES document; and

• I can print on paper the disclosure or save or send the disclosure to a place where I canprint it, for future reference and access; and

• Until or unless I notify singerssensation.com as described above, I consent to receive fromexclusively through electronic means all notices, disclosures, authorizations,acknowledgements, and other documents that are required to be provided or madeavailable to me by singerssensation.com during the course of my relationship with you.

Certificate of Business: Fictitious Firm Name Please Select One:

New Application Renewal of existing name

Please Print or Type The expiration date for such certificates shall be the last day of the sixtieth month from the date of filing. The undersigned do/does hereby certify that _________________________________________________ (Name of individual, corporation, partnership or trust) with mailing address of ______________________________,__________________,_______, ________ ( Mailing Address for notification of renewal) (Street) (City) (State) (Zip) is/are conducting business in Clark County, Nevada, under the fictitious name of ______________________________________________________________________________________ (Fictitious Firm Name) or (Doing Business As) and that said firm is composed of the following person(s) whose name(s) and address(es) are as follows: By signing below I do solemnly swear (or affirm), under penalty of perjury, that all statements made in this document are true. (1)_____________________________________ ___________________________________________ Full Name and title (Type or Print) Signature Date ___________________________________________________________________________________ Street Address of Business or Residence City, State, Zip ___________________________________________________________________________________ Mailing Address, if different from above City, State, Zip (2)_____________________________________ ___________________________________________ Full Name and title (Type or Print) Signature Date ___________________________________________________________________________________ Street Address of Business or Residence City, State, Zip ___________________________________________________________________________________ Mailing Address, if different from above City, State, Zip (3)_____________________________________ ___________________________________________ Full Name and title (Type or Print) Signature Date ___________________________________________________________________________________ Street Address of Business or Residence City, State, Zip ___________________________________________________________________________________ Mailing Address, if different from above City, State, Zip (4)_____________________________________ ___________________________________________ Full Name and title (Type or Print) Signature Date ___________________________________________________________________________________ Street Address of Business or Residence City, State, Zip ___________________________________________________________________________________ Mailing Address, if different from above City, State, Zip

Mail to: Diana Alba, County Clerk, Attn. FFN, P.O. Box 551604, Las Vegas NV 89155-1604 Include: Filing Fee of $20.00 with the certificate plus 2 copies and a self-addressed stamped envelope

xx

SINGERS SENSATION COMPANY

848 N. RAINBOW BLVD SUITE 137LAS VEGAS NV 89107

SINGERS SENSATION COMPANY

SHAUN JAY FEDERICO

812 PEPPERWOOD LN LAS VEGAS, NEVADA 89107-1012

MARTHA R. BAKER

812 PEPPERWOOD LN LAS VEGAS NEVADA 89107-1012

NANCY F MARTIN

807 PEPPERWOOD LN LAS VEGAS, NV 89107

Digitally signed by SHAUN J FEDERICO DN: cn=SHAUN J FEDERICO, o=SINGERS SENSATION COMPANY, ou=BOARD OF DIRECTORS, [email protected], c=US Date: 2012.10.09 07:16:54 -07'00'

Digitally signed by MARTHA R. BAKER DN: cn=MARTHA R. BAKER, o=SINGERS SENSATION COMPANY, ou=TREASURER/VIP MARKETING, [email protected], c=US Date: 2012.10.09 07:21:10 -07'00'

Digitally signed by NANCY F. MARTIN DN: cn=NANCY F. MARTIN, o=SINGERS SENSATION COMPANY, ou=BOARD OF DIRECTORS, [email protected], c=US Date: 2012.10.09 07:24:04 -07'00'

DocuSign Envelope ID: FA076CF2-B386-484E-BFBD-B24AE40DEF7F

812 PEPPERWOOD LN LAS VEGAS NEVADA 89107-1012

NANCY F MARTIN

LAS VEGAS

807 PEPPERWOOD LN LAS VEGAS, NV 89107

SINGERS SENSATION COMPANY

MARTHA R. BAKER

89107

812 PEPPERWOOD LN LAS VEGAS, NEVADA 89107-1012

848 N. RAINBOW BLVD SUITE 137

SINGERS SENSATION COMPANY

SHAUN JAY FEDERICO

xx

NV