DWIGHT D. SULLIVAN, COUNTY CLERK
GALVESTON COUNTY, TEXAS
ASSUMED NAME CERTIFICATE FOR INCORPORATED BUSINESS OR PROFESSION
NOTICE: “CERTIFICATES OF OWNERSHIP”ARE VALID ONLY FOR A PERIOD NOT TO EXCEED 10 YEARS FROM THE DATE FILED IN THE COUNTY CLERK’S OFFICE
(CHAPTER 71.151(a) -BUSINESS AND COMMERCE CODE) THIS CERTIFICATE, PROPERLY EXECUTED, IS TO BE FILED IMMEDIATELY WITH THE COUNTY CLERK.
________________________________________________________________________________________________________________________________________________________________
NAME IN WHICH BUSINESS OR PROFESSIONAL SERVICES IS OR WILL BE CONDUCTED (Print or Type)
Address: ___________________________________ City: _________________ State: _____ Zip Code: _________
1. Name of the incorporated business or profession as stated in its Articles of Incorporation or comparable document is:
________________________________________________________________________________________ and the
CHARTER NUMBER or CERTIFICATE OF AUTHORITY NUMBER, if any, is: ___________
2. The state, country or other jurisdiction under the laws of which it was incorporated is: _____________
and the address of its registered or similar office in that jurisdiction is: ________________________________________
3. The period, not to exceed ten years, during which this assumed name will be used is: _______
4. The corporation is a
(Check one):
____ Business Corporation ____ Non-profit Corporation ____ Professional Association
____ Professional Corporation ____ Other: ______________
5. If the corporation is required to maintain a registered office in Texas, the address of the registered office is:
_________________________________________________________________________________________ and
the name of its REGISTERED AGENT at such address is: ___________________________________________________
The address of the principal office (if not the same as the registered office) is: ___________________________________
6. If the corporation is not required to or does not maintain a registered office in Texas, the office address in Texas is:
_____________________________________________________ and if the corporation is not incorporated, organized or
associated under the laws of Texas, the address of its place of business in Texas is: ______________________________
and the office address elsewhere is:_____________________________________________________________________
7. The county or counties where business or professional services are being or are to be conducted or rendered under such
assumed name are (must file in each county if doing business as such) : ____________________________________________
8. If this instrument is executed by the attorney-in-fact, the attorney-in-fact hereby states that he/she has been duly authorized
in writing, by his/her principal to execute and acknowledge this instrument.
Name of Corporation: _______________________________________________________________
By: _______________________________________
Title: ________________
(Signature of officer, representative or attorney-in-fact)
The State of Texas, County of Galveston
BEFORE ME, THE UNDERSIGNED AUTHORITY, on this day personally appeared _______________________________________
Known to me to be the person whose name is subscribed to the foregoing instrument and, under oath, acknowledged to me that he/she
signed the same for the purpose and consideration therein expressed.
GIVEN UNDER MY HAND AND SEAL OF OFFICE, THIS ________ DAY OF ________________________, 20_____
DWIGHT D. SULLIVAN, COUNTY CLERK
GALVESTON COUNTY, TEXAS
By: __________________________________________, or
Deputy
__________________________________________
Notary Public
