Rev. /201 FBN Abandonment , Sonoma County Clerk-Recorder Fictitious Business Name Statement of Abandonment: For accessibility assistance with this document, please contact Sonoma County Clerk at (707) 565-3800, Fax at (707) 565-3957, or through the California Relay Service (by dialing 7 1 1).rnrnPara asistencia con la accesibilidad de este documento, por favor contacte a Sonoma County Clerk's Office al (707) 565-2645, Fax al (707) 565-3957, o por el Servicio de Retransmisión de California (marque 7 1 1).rnrnEN-USFICTITIOUS BUSINESS NAME STATEMENT OF ABANDONMENT FILING FEE - $31.00 THE PERSON(S) LISTED BELOW HAVE ABANDONED THE USE OF THE FOLLOWING FICTITIOUS BUSINESS NAME(S): Fictitious Business(es) Name (please number if more than one business name) Street address of principal place of business City State ip County Z F The fictitious business name was filed in Sonoma County on: Date Filed ile Number REGISTERED OWNER(S): Full Name Full Name If Corporation or LLC 226 Print State of Incorporation/Organization Residence Address Residence Address City State Zip City State Zip If Corporation or LLC 226 Print State of Incorporation/Organization Full Name Full Name Residence Address Residence Address City State Zip City State Zip If Corporation or LLC 226 Print State of Incorporation/Organization If Corporation or LLC 226 Print State of Incorporation/Organization THIS BUSINESS WAS CONDUCTED BY: I declare that all information in this statement is true and correct. A registrant who declares as true any material matter pursuant to this section that the registrant knows to be false is guilty of a misdemeanor punishable by a fine not to exceed one thousand dollars ($1,000). (Printed Name and Title of Person Signing - See instructions for authorized signatories/titles) 1. 4. 3. 2. American LegalNet, Inc. www.FormsWorkFlow.com Rev. 1/201 FBN Abandonment INSTRUCTIONS FOR COMPLETION OF STATEMENT THE INSTRUCTIONS BELOW ARE NOT TO BE PUBLISHED BUSINESS AND PROFESSIONS CODE SECTION 17922: individualmarried couplegeneral partnership, limited partnership, copartners, a limited liability partnership, a joint venture, or an unincorporated association other than a partnershipcorporationtrustlimited liability companystate or local registered domestic partnersBUSINESS & PROFESSIONS CODE 17924(1): BUSINESS & PROFESSIONS CODE 17924(2): American LegalNet, Inc. www.FormsWorkFlow.com