FILED

Siskiyou County

July 25, 2018

COLLEEN SETZER, CLERK

BY: S. Gray, Deputy Clerk

FILING FEE - $14.50

STATEMENT OF ABANDONMENT OF USE OF FICTITIOUS BUSINESS NAME

The following person(s) listed below have abandoned the use of the following fictitious business name(s):

Mt. Shasta Vets Club, 406 N. Mt. Shasta Blvd., Mt. Shasta, CA 96067; Siskiyou County

The fictitious business name was filed in Siskiyou County on: 2017

File No. 2017-47-000331

Registered Owner(s):

William Silberberger, 9235 Gamma Lane, Montague, CA 96064

Alex T. Tichy, 9235 Gamma Lane, Montague, CA 96064

Amber Silberberger, 9235 Gamma Lane, Montague, CA 96064

State of Corporation: LLC

This business was conducted by: a Limited Liability Company

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/: Alex Tichy

Print: Alex Tichy, Co-owner and Manager

This statement was filed with the County Clerk of Siskiyou County on date indicated by file stamp above.

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