Office of the Minnesota
Secretary of State
Assumed Name | Certificate of Assumed Name
Minnesota Statues, Chapter 333
Read the instructions before completing this form.
Filing Fee: $50 for expedited service in-person and online filings, $30 if submitted by mail
Note: An Annual Renewal is required to be filed once every calendar year, beginning in the calendar year following the original filing with the Secretary of State.
The filing of an assumed name does not provide a user with exclusinve rights to that name. The filing is required for consumer protection in order to enable consumers to be able to identify the true owner of a business.
Note: Information provided when filing a business entity is public data and may be viewable online. This includes but is not limited all individual names and addresses.
1. List the exact assumed name under which the business is or will be conducted: (Required)
DAVID JEROME MCCLURE
2. Principal Place of Business: (Required)
104 Beckett Ct
Street Address (A PO Box by itself is not acceptable)
Beckley WV 25801
State, State, Zip
3. List the name and complete street address of all persons conducting business under the above Assumed Name, OR if an entity, provide the legal corporate, LLC, or Limited Partnership name and registered office address: (Required)
Note: A PO Box by itself is not acceptable. Attach additional sheet(s) if necessary.
Elijah El Bey TRUST
Name
104 Beckett Ct
Street
Beckley WV 25801
State, State, Zip Beckley
4. I, the undersigned, certify that I am signing this document as the person whose signature is required, or as agent of the person(s) whose signature would be required who has authorized me to sign this document on his/her behalf, or in both capacities. I further certify that I have completed all required fields, and that the information in this document is true and correct and in compliance with the applicable chapter of Minnesota Statutes. I understand that by signing this document I am subject to the penalties of perjury as set forth in Section 609.48 as if I had signed this document under oath.
DAVID J MCCLURE
Signature (Only one nameholder or authorized agent is required to sign)
10-12-22
Date
DAVID JEROME MCCLURE
AUTH AGENT
Print Name and Title