HowtocompletetheFBNStatement
BusinessandProfessionsCodeSection17913:
* Whereoneasteriskappearsintheform:
(a) Insertthefictitiousbusinessnameornames
(b) Onlythosebusinessesoperatedatthesameaddressandunderthesameownershipmaybelistedononestatement
** Wheretwoasterisksappearintheform:
(a) Iftheregistranthasaplaceofbusinessinthisstate,insertthestreetaddressandcountyofhisorherprincipalplaceofbusinessinthisstate
(b) Iftheregistranthasnoplaceofbusinessinthisstate,insertthestreetaddressandcountyofhisorherprincipalplaceofbusinessoutsidethisstate
andfilewiththeClerkofSacramentoCounty(B&P17915)
(c) MailBoxandPostOfficeBoxNumbersarenotacceptableasabusinessaddresswhenusedalonewithoutastreetaddress
*** Wherethreeasterisksappearintheform:
(a) Iftheregistrantisanindividual,inserthisorherfullnameandresidenceaddress
(b) Iftheregistrantsareamarriedcouple,insertthefullnameandresidenceaddressofbothpartiestothemarriage.
(c) Iftheregistrantisageneralpartnership,copartnership,jointventure,limitedliabilitypartnership,orunincorporatedassociationotherthana
partnership,insertthefullnameandresidenceaddressofeachgeneralpartner
(d) Iftheregistrantisalimitedpartnership,insertthefullnameandresidenceaddressofeachgeneralpartner
(e) Iftheregistrantisalimitedliabilitycompany,insertthenameandaddressofthelimitedliabilitycompany,assetoutinitsarticlesoforganization
onfilewiththeCASecretaryofState,andthestateoforganization
(f) Iftheregistrantisatrust,insertthefullnameandresidenceaddressofeachtrustee
(g) Iftheregistrantisacorporation,insertthenameandaddressofthecorporation,assetoutinitsarticlesofincorporationonfilewiththeCA
SecretaryofState,andthestateofincorporation
(h) Iftheregistrantsarestateorlocalregistereddomesticpartners,insertthefullnameandresidenceaddressofeachdomesticpartner
**** Wherefourasterisksappearintheform:
(a) Checkwhicheverofthetermslistedonthefrontoftheformbestdescribesthenatureofthebusiness
***** Wherefiveasterisksappearintheform:
(a) Entercurrentorpastdateonwhichtheregistrantfirstcommencedtotransactbusinessunderthefictitiousbusinessname(s)listed,ifalready
transactingbusinessunderthatname(s)
(b) Ifyouhavenotyetcommencedtotransactbusinessunderthefictitiousbusinessname(s)listedenterN/A.
BusinessandProfessionsCodeSection17914
Thestatementshallbesignedasfollows:
(a) Iftheregistrantisanindividual,bytheindividual
(b) Iftheregistrantsareamarriedcouple,byoneofthepartiestothemarriage.
(c) Iftheregistrantisageneralpartnership,limitedpartnership,limitedliabilitypartnership,copartnership,jointventure,orunincorporated
associationotherthanapartnership,byageneralpartner
(d) Iftheregistrantisalimitedliabilitycompany,byamanagerorofficer
(e) Iftheregistrantisatrust,byatrustee
(f) Iftheregistrantisacorporation,byanofficer
(g) Iftheregistrantisastateorlocalregistereddomesticpartnership,byoneofthedomesticpartners
BusinessandProfessionsCodeSection17915
Thefictitiousbusinessnamestatementshallbefiledwiththeclerkofthecountyinwhichtheregistranthashisorherprincipalplaceofbusinessinthisstateor,
iftheregistranthasnoplaceofbusinessinthisstate,withtheClerkofSacramentoCounty.Nothinginthischaptershallprecludeapersonfromfilingafictitious
businessnamestatementinacountyotherthanthatwheretheprincipalplaceofbusinessislocated,aslongastherequirementsofthissubdivisionarealso
met.
BusinessandProfessionsCodeSection17917
PublicationforOriginal,NewFilings(renewalwithchangeinfactsfrompreviousfiling),orRefile
(a) Within30daysafterafictitiousbusinessnamestatementhasbeenfiled,theregistrantshallcauseittobepublishedinanewspaperofgeneral
circulationinthecountywherethefictitiousbusinessnamestatementwasfiledor,ifthereisnosuchnewspaperinthatcounty,inanewspaperof
generalcirculationinanadjoiningcounty.Iftheregistrantdoesnothaveaplaceofbusinessinthisstate,thenoticeshallbepublishedina
newspaperofgeneralcirculationinSacramentoCounty.Thepublicationmustbeonceaweekforfoursuccessiveweeksandanaffidavitof
publicationmustbefiledwiththecountyclerkwherethefictitiousbusinessnamestatementwasfiledwithin30daysafterthecompletionofthe
publication.
(b) Ifarefilingisrequiredbecausethepriorstatementhasexpired,therefilingneednotbepublished,unlesstherehasbeenachangeinthe
informationrequiredintheexpiredstatement,providedtherefilingisfiledwithin40daysofthedatethestatementexpired.
BusinessandProfessionsCodeSection17922
AbandonmentofFictitiousBusinessName
(a) Uponceasingtotransactbusinessinthisstateunderafictitiousbusinessnamethatwasfiledinthepreviousfiveyears,apersonwhohasfileda
fictitiousbusinessnamestatementshallfileastatementofabandonmentofuseoffictitiousbusinessname.Thestatementshallbeexecutedand
publishedinthesamemannerasafictitiousbusinessnamestatementandshallbefiledwiththe
countyclerkofthecountyinwhichthepersonhasfiledhisorherfictitiousbusinessnamestatement.
BusinessandProfessionsCodeSection17930
Anypersonwhoexecutes,files,orpublishesanystatementunderthischapter,knowingthatsuchstatementisfalse,inwholeor
inpart,shallbeguiltyofamisdemeanoranduponconvictionthereofshallbepunishedbyafinenottoexceedonethousanddollars($1,000).
BusinessandProfessionsCodeSection17928
Uponprepaymentofafee,theCountyClerkmayfurnishtoanypersonwhosorequests,summariesorcompilationsoffilings.Foralistofwhopurchasesthis
datapleasecontacttheCountyclerk.
CLK115Rev.7/2019