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<br />READ INSTRUCTIONS ON REVERSE SIDE BEFORE COMPLETING FORM - P~EA$~J!~.!g__BLACK INK <br />A MAILING NAME AND ADDRESS (OPTIONAL): <br /> <br />File Hum ber: <br /> <br />507420 <br /> <br />No. of Pages: <br /> <br />1 <br /> <br />NAME <br /> <br />CITY <br /> <br />STATE <br /> <br />ZIP <br /> <br />" IIIII~III U 1111" " <br /> <br />- 507420- <br /> <br />File Date: <br />Expires: <br /> <br />Fee Total: <br /> <br />3/27/2008 <br />3/27/2013 <br /> <br />ADDRESS <br /> <br />37.35 <br /> <br />FICTITIOUS BUSINESS NAME STATEMENT <br />FILED WITH THE COUNTY CLERK-RECORDER OF SANTA CLARA <br />COUNTY ON THE DATE IDENTIFIED ON THE FILING LABEL <br /> <br />Clerk 10: 022 <br /> <br />REGINA ALCOMENDRAS, County Clerk - Recorder <br />SANTA CLARA COUNTY CLERK - RECORDER'S OFFICE <br /> <br />1. <br /> <br /> <br />Use the ADDENDUM form If the total number of names will not Ie Ibl fit <br /> <br />2. <br /> <br />\ 00 '?J <br /> <br />CITY <br />SetV'. \fos-e I <br /> <br />STATE <br /> <br />Gt~rlC; <br /> <br />COUNTY <br /><:a lItt7J. UOA1 <br /> <br />Ut. <br /> <br />If the principal place 01 business identified in #2 above is not in Santa Clara County, a current fictitious business name statement for the <br />fictitious business name(s) identified in #1 above shall be on file at the above-Identified County that is the principal place of business. <br />If a licable, lease com lete #3 below: <br />3. 0 THE PRINCIPAL PLACE OF BUSINESS IS IN _ COUNTY AND A CURRENT FICTITIOUS BUSINESS NAME STATEMENT IS ON FILE <br />AT THE COUNTY CLERK-RECORDER'S OFFICE OF SAID COUNTY. <br /> <br />Thi business is owned by: (An asterisk [*] item requires proof of registration with the California Secretary of State's Office) <br /> <br />4. AN INDIVIDUAL 0 A GENERAL PARTNERSHIP 0 · A LIMITED PARTNERSHIP 0 . A LIMITED LIABILITY COMPANY <br />o AN UNINCORPORATED ASSOCIATION OTHER THAN A PARTNERSHIP 0 . A CORPORATION 0 A TRUST 0 COPARTNERS <br /> <br />o HUSBAND AND WIFE D JOINT VENTURE D STATE OR LOCAL REGISTERED DOMESTIC PARTNERS D . LIMITED LIABILITY PARTNERSHIF <br /> <br />The name and residence address of the owner(s)/registrant(s) is (are): (DO NOT USE P.O. BOX, PRIVATE MAIL BOX ADDRESSES) <br />NOTE: General Partnerships, Copartnership. Joint Venture, Limited Liability .Partnership. Unincorporated Association, and Limited Partnership - Insert name and residence address of <br />each General Partner; Trusts - Insert Ihe fun name and residence address of each truslee; limited liability Company and Corporation - Insert full name and address of Limited Liability <br />Company or Corportalion as registered with the California Secretary of Slate's Office; State or local registered Domestic Partners - Insert full name and residence address of each Domestic <br />Partner. USE THE ADDENDUM FORM TO LIST ADDITIONAL NAMES AND ADDRESSES. <br /> <br />5. NAME ADDRESS CITY STATE ZIP <br /> lr\ vvD1- k.~ V~- SUO)<: V\ l Vl_ IOo~ GlUt 11'ler-- /tV e, SJ.Vl "Jose', CA4. q C; l J-L? . <br />l NAME ADDRESS Clfl STATE ZIP <br />l NAME ADDRESS CITY STATE ZIP <br /> <br />61 <br /> <br />7. <br /> <br />This filln Is a: <br /> <br />lit First Filing (PUblication Rea r <br /> <br />D Refile of previous file # <br />'It <br />o Re1lled prior to expiration 0 I <br />o With changes (PubliCUlon R <br /> <br />DAfter 40 days of expiration date <br /> <br />[J Due to publication f1Iqulf1lment not <br /> <br /> <br />. Deputy <br /> <br />8. <br /> <br />Registrant/Owner began transacting business under the <br />fictitloutl business name~J listed above on: <br />o DATE: <br />!B'NOT APP~CABLE <br /> <br />I declare that all Information In this statement Is true and correct. <br />(A registrant who declares as true Information which he or she <br />knows to be false Is guilty oJia cr!me.) <br />SIGNED x J ~/~ <br /> <br />PRINTED NAME I _ V\ ~ H tV\. <br /> <br />If a CORPORATION, LIMITED LIABILITY COMPANY, LIMITED PARTNERSHIP or <br />LIMITED LIABILITY PARTNERSHIP, the following must be completed: <br /> <br />ENTITY NAME <br /> <br />TITLE/CAPACITY OF SIGNER <br /> <br />ARTICLE/REG It <br />ABOVE ENTITY WAS FORMED IN THE STATE OF <br /> <br />. (from CA Sec of Slale's Office) <br /> <br />By <br /> <br />NOTICE -IN ACCORDANCE WITH SUBDIVISION (al OF SECTION 17920, A FICTITIOUS BUSINESS NAME STATEMENT GENERALLY EXPIRES AT E OF FNE YEARS FROM THE <br />DATE ON WHICH IT WAS FILED IN THE OFRCE OF THE COUNTY CLERK, EXCEPT, AS PROVIDED IN SUBDIVISION (b) OF SECTION 17920, WHERE IT EXPIRES 40 DAYS AFTER ANY <br />CHANGE IN THE FACTS SET FORTH IN THE STATEMENT PURSUANT TO SECTION 17913 OTHER THAN A CHANGE IN THE RESIDENCE ADDRESS OF A REGISTERED OWNER. A NEW <br />FICTITIOUS BUSINESS NAME STATEMENT MUST BE FILED BEFORE THE EXPIRATION. THE RUNG OF THIS STATEMENT DOES NOT OF ITSELF AUTHORIZE THE USE IN THIS <br />STATE OF A FICTITIOUS BUSINESS NAME IN VIOLATION OF THE RIGHTS OF ANOTHER UNDER FEDERAL, STATE, OR COMMON LAW (SEE SECTION 14411 ET SEQ., BUSINESS AND <br />PROFESSIONS CODE). <br /> <br />Rev 11112008 <br />