Details for AD# 14004 FILE # 2020-0470 [ X ] ORIGINAL PREVIOUS

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AD# 14004 FILE # 2020-0470 [ X ] ORIGINAL PREVIOUS file # FICTITIOUS BUSINESS NAME STATEMENT THE FOLLOWING PERSON(S) IS(ARE) DOING BUSINESS AS: BURNS & WHITAKER INSURANCE SERVICES 729 W. LACEY BLVD SUITE 8 HANFORD CA 93230 KINGS COUNTY Full name and address(es) of Registrant(s): 1) ACRISURE OF CALIFORNIA LLC 5664 PRAIRIE CREEK DRIVE CALEDONIA MI 49316 MICHIGAN The Business is conducted by: A LIMITED LIABILITY COMPANY [ X ] Registrant commenced to transact business under the fictitious business name or names listed above on 9/1/2020 I declare that all information in this statement is true and correct (A registrant who declares as true information which he or she knows to be false is guilty of a crime.) / s / COURTNEY KOLENDA, VICE PRESIDENT This statement was filed with the County Clerk of Kings County on date indicated by the file stamp above OCT 30, 2020 NOTICE - THIS FICTITIOUS NAME STATEMENT EXPIRES FIVE YEARS FROM THE DATE IT WAS FILED IN THE OFFICE OF THE COUNTY CLERK. A NEW FICTITIOUS BUSINESS NAME STATEMENT MUST BE FILED PRIOR TO THAT DATE. 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, of common law (See Section 14411 -et seq., Business and Professions Code.) I HEREBY CERTIFY THAT THE FOREGOING IS A CORRECT COPY OF THE ORIGINAL STATEMENT ON FILE IN MY OFFICE KRISTINE LEE, KINGS COUNTY CLERK by /s/ JACQULINE JOLLIFF, Deputy Publish: NOVEMBER 21, 28, 2020 DECEMBER 5, 12, 2020

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