CERTIFICATE OF ASSUMED NAME WOODBURY PSYCHOLOGICAL SERVICES
STATE OF MINNESOTA
SECRETARY OF STATE
Minnesota Statutes Chapter 333
Filed May 21, 2008
The filing of an assumed name does not provide a user with exclusive 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.
1. State the exact assumed name under which the business is or will be conducted: Woodbury Psychological Services
2. State the address of the principal place of business. A complete street address or rural route and rural route box number is required; the address cannot be a P.O. Box: 1687 Woodlane Drive, Suite 2002, Woodbury, MN 55125
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: Woodbury Psychological Services, PSC, 1687 Woodlane Drive, Suite 2002, Woodbury, MN 55125
4. I certify that I am authorized to sign this certificate and I further certify that I understand that by signing this certificate, I am subject to the penalties of perjury as set forth in Minnesota Statutes section 609.48 as if I had signed this certificate under oath.
Dated this 19th day of May, 2008.
s/ Amelia Versland, President and Incorporator/ Registered Agent
Contact Person: Amelia Versland
(Published in the Woodbury Bulletin on Wednesday, June 18, 2008 and Wednesday, June 25, 2008.)