95945 | 11/17/2020 | Ad id: 4-0000637700-01

FICTITIOUS BUSINESS NAME STATEMENT The Name(s) of the Business(es): Momentum Physical Therapy 140 Litton Dr. Suite 200 Grass Valley, CA 95945 is (are) hereby registered by the following owner(s): Kim M. Iverson-Lee This business is conducted by: An Individual THE REGISTRANT COMMENCED TO TRANSACT BUSINESS UNDER THE FICTITIOUS BUSINESS NAMES(S) LISTED ABOVE ON: Not Applicable "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). SIGNATURE OF REGISTRANT: /s/ Kim Iverson-Lee This statement was filed with the Clerk-Recorder of Nevada County on Oct. 28, 2020 Assigned File 20200001037 Pub: Nov. 17, 24, Dec. 1, 8, 2020 Ad #0000637700