Form Clk115 is an important document for any business. This form ensures that all the necessary information is collected and that the company is in compliance with state and federal regulations. Completing this form accurately can help to ensure that your business operates smoothly and remains compliant. Form Clk115 must be completed accurately and on time in order to avoid any penalties from the government. Missing or incomplete information could result in fines, so it's important to take your time and make sure everything is correct. There are a few tips you can follow to make sure the process goes as smoothly as possible. If you're not familiar with Form Clk115, don't worry! We're here to help explain everything you need to know about this important document. Keep reading for more information!
| Question | Answer |
|---|---|
| Form Name | Form Clk115 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | 2012 name statement pdf, santa cruz county clerk fictitious business name, 2012 business fictitious form, how to get a fictitious business name in santa cruz california |
Type of filing (Check one)
□Original
□New Filing
[Change(s) in facts from previous filing]
□Refile
[No Change(s) in facts from previous filing]
Previous file # ________________________
Office of the Santa Cruz County Clerk
701 Ocean St., Room 210, Santa Cruz, CA 95060
www.sccoclerk.com
FICTITIOUS BUSINESS NAME STATEMENT
Filing Fee
$40.00 for first business name on statement
$7.00 for each additional business name filed on the same statement and doing business at the same location
$7.00 for each additional owner in excess of one owner
This space reserved for County Clerk
Enter Fictitious Business Name(s) below
*___________________________________________________________________________
Print Fictitious Business Name(s)
**_________________________________________|_________________________________
Street address of principal place of businessMailing address if different
__________________________________________ |_________________________________
City |
State |
Zip |
County |
City |
State |
Zip |
***Registered Owner(s):
1. __________________________________ |
2. _________________________________ |
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Full Name |
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Full Name |
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__________________________________ |
_________________________________ |
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Residence Address |
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Residence Address |
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__________________________________ |
_________________________________ |
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City |
State |
Zip |
City |
State |
Zip |
__________________________________ |
_________________________________ |
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If Corporation or LLC – Print State of Incorporation/Organization |
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If Corporation or LLC – Print State of Incorporation/Organization |
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3. __________________________________ |
4. _________________________________ |
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Full Name |
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Full Name |
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__________________________________ |
_________________________________ |
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Residence Address |
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Residence Address |
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__________________________________ |
_________________________________ |
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City |
State |
Zip |
City |
State |
Zip |
__________________________________ |
_________________________________ |
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If Corporation or LLC – Print State of Incorporation/Organization |
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If Corporation or LLC – Print State of Incorporation/Organization |
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If more than four (4) registrants, attach additional sheet showing owner information
****This business is conducted by: (Check one)
□ an Individual |
□ a General Partnership |
□ a Limited Partnership |
□ a Limited Liability Company |
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□ an Unincorporated Association other than a Partnership |
□ a Corporation |
□ a Trust |
□ Copartners |
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□ Husband and Wife |
□ Joint Venture |
□ State or Local Registered Domestic Partners |
□ a Limited Liability Partnership |
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*****The registrant commenced to transact business under the fictitious business name or names listed above on _____________________________
(Enter current or past date, or N/A if a future date)
I declare that all information in this statement is true and correct.
(A registrant who declares as true information that he or she knows to be false is guilty of a crime.)
Signature of Registrant __________________________________________________________
____________________________________________________________________________
Print name of person signing. If corporation, also print corporate title of officer. If LLC, also print title of officer or manager. Copies of Articles of Incorporation/Certificates of Organization must be submitted at the time of filing.
This statement was filed with the County Clerk of Santa Cruz County on the date indicated by the filed stamp in the upper right corner.
Notice: In accordance with the Subdivision (a) of Section 17920, a fictitious business name statement generally expires at the end of five years from the date on which it was filed in the Office of the County Clerk, except as provided in Subdivision (b) of Section 17920, where it expires 40 days after any 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 fictitious business name statement must be filed before the expiration.
The filing of this statement does not of itself authorize the use in this 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 Profession Code).
I hereby certify that this copy is a correct copy of the original statement on file in my office.
Gail L. Pellerin, Santa Cruz County Clerk |
By:_____________________________________________, Deputy |
CLK115 Rev. 7/2012 (Blue)
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 husband and wife, insert the full name and residence address of both the husband and the wife
(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)Enter current or past date on which the registrant first commenced to transact business under the fictitious business name(s) listed, if already transacting business under that name(s)
(b)If you have not yet commenced to transact business under the fictitious business name(s) listed enter N/A.
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 husband and wife, by the husband or wife
(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 name 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 refiling is required because the prior statement has expired, the refiling need not be published, unless there has been a change in the information required in the expired statement, provided the refiling 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 shall be executed and published in the same manner as a fictitious business name statement and shall be filed with the
county clerk of the county in which the person has filed his or her fictitious business name statement. Business and Professions Code Section 17930
Any person who executes, files, or publishes any statement under this chapter, knowing that such statement is false, in whole or
in part, shall be guilty of a misdemeanor and upon conviction thereof shall be punished by a fine not to exceed one thousand dollars ($1,000).
Business and Professions Code Section 17928
Upon prepayment of a fee, the County Clerk may furnish to any person who so requests, summaries or compilations of filings. For a list of who purchases this data please contact the County clerk.