95946 | 02/12/2019 | Ad id: 4-0000380711

FICTITIOUS BUSINESS NAME STATEMENT The Name(s) of the Business(es): Psychological and Wellness Associates 10524 Spenceville Road Penn Valley, CA 95946 County of Nevada is (are) hereby registered by the following owner(s): Charline D. Tocchi 6319 Bald Mountain Road Browns Valley, CA 95918 This business is conducted by: An Individual THE REGISTRANT COMMENCED TO TRANSACT BUSINESS UNDER THE FICTITIOUS BUSINESS NAMES(S) LISTED ABOVE ON: 10-01-18 "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/ Charline D. Tocchi This statement was filed with the Clerk-Recorder of Nevada County on February 4, 2019 Assigned File 2019-0152 Pub: February 12, 19, 26 & March 5, 2019 Ad #380711