Fictitious Business Name Statement Instructions A Fictitious Business Name (FBN is the legal term for an assumed name which a business uses instead of the name of the owner. The use of a registered Fictitious Business Name allows individuals or businesses to use trade names without having to go to the expense of creating a separate legal entity. Adobe reader is required to view this document, it is recommended that you have version 10 or higher installed for functionality. http://get.adobe.com/reader/ To file an FBN in Contra Costa County follow these steps: 1. It is recommended for legibility that this form is completed online prior to printing. 2. Select each field on the form below and type the required information. 3. Click all appropriate fields on the form to place a 4. Print 4 copies of the completed form. 5. Sign each copy of the form. 6. Bring the forms to our office for processing or mail all 4 pages and any required documentation to: Contra Costa County Clerk (FBN) P.O. Box 350 Martinez, CA 94553 Click here for directions to the Clerk Recorders office. in the required boxes. American LegalNet, Inc. www.FormsWorkFlow.com INSTRUCTIONS FOR COMPLETION OF STATEMENT Business and Professions Code Section 17913: * ** Where one asterisk appears in the form: (a) Insert the fictitious business name or names (b) Only those businesses operated at the same address and under the same ownership may be listed on one statement Where two asterisks appear in the form: (a) If the registrant has a place of business in this state, insert the street address and county of his or her principal place of business in this state (b) If the registrant has no place of business in this state, insert the street address and county of his or her principal place of business outside this state and file with the Clerk of Sacramento County (B&P 17915) (c) Mail Box and Post Office Box Numbers are not acceptable as a business address when used alone without a street address Where three asterisks appear in the form: (a) If the registrant is an individual, insert his or her full name and residence address (b) If the registrants are a married couple, insert the full name and residence address of both parties (c) If the registrant is a general partnership, copartnership, joint venture, limited liability partnership, or unincorporated association other than a partnership, insert the full name and residence address of each general partner (d) If the registrant is a limited partnership, insert the full name and residence address of each general partner (e) If the registrant is a limited liability company, insert the name and address of the limited liability company, as set out in its articles of organization on file with the CA Secretary of State, and the state of organization (f) If the registrant is a trust, insert the full name and residence address of each trustee (g) If the registrant is a corporation, insert the name and address of the corporation, as set out in its articles of incorporation on file with the CA Secretary of State, and the state of incorporation (h) If the registrants are state or local registered domestic partners, insert the full name and residence address of each domestic partner Where four asterisks appear in the form: (a) Check whichever of the terms listed on the front of the form best describes the nature of the business Where five asterisks appear in the form: (a) Insert the date on which the registrant first commenced to transact business under the fictitious business name or names listed, if already transacting business under that name or names (b) Insert N/A if you have not yet commenced to transact business under the fictitious business name or names listed *** **** ***** Business and Professions Code Section 17914 The statement shall be signed as follows: (a) If the registrant is an individual, by the individual (b) If the registrants are a married couple, by either party (c) If the registrant is a general partnership, limited partnership, limited liability partnership, copartnership, joint venture or unincorporated association other than a partnership, by a general partner (d) If the registrant is a limited liability company, by a manager or officer (e) If the registrant is a trust, by a trustee (f) If the registrant is a corporation, by an officer (g) If the registrant is a state or local registered domestic partnership, by one of the domestic partners Business and Professions Code Section 17915 The fictitious business name statement shall be filed with the clerk of the county in which the registrant has his or her principal place of business in this state, or if the registrant has no place of business in this state, with the Clerk of Sacramento County. Nothing in this chapter shall preclude a person from filing a fictitious business name statement in a county other than that where the principal place of business is located, as long as the requirements of this subdivision are also met. Business and Professions Code Section 17917 Publication for Original, New Filings (renewal with change in facts from previous filing), or Refile (a) Within 30 days after a fictitious business names statement has been filed, the registrant shall cause it to be published in a newspaper of general circulation in the county where the fictitious business name statement was filed, or if there is no such newspaper in that county, 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. The publication must be once a week for four successive weeks and an affidavit of publication must be filed with the county clerk where the fictitious business name statement was filed within 30 days after the completion of the publication (b) If a refilling is required because the prior statement has expired, the refilling need not be published, unless there has been a change in the information required in the expired statement, provided the refilling is filed within 40 days of the date the statement expired. Business and Professions Code Section 17922 Abandonment of Fictitious Business Name (a) Upon ceasing to transact business in this state under a fictitious business name that was filed in the previous five years, a person who has filed a fictitious business name statement shall file a statement of abandonment of use of fictitious business name. The statement