95945 | 04/13/2021 | Ad id: 4-0000677703-01

FICTITIOUS BUSINESS NAME STATEMENT The Name(s) of the Business(es): KM Flooring 13981 Linden Rd. Grass Valley, CA 95945 is (are) hereby registered by the following owner(s): Kawika Madeiros This businesess conducted by: An Individual THE REGISTRANT COMMENCED TO TRANSACT BUSINESS UNDER THE FICTITIOUS BUSINESS NAMES(S) LISTED ABOVE ON: 9-28-17 "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/ Kawika Madeiros This statement was filed with the Clerk-Recorder of Nevada County on March 22, 2021 Assigned File 20210000319 Pub: April 13, 20, 27, may 4, 2021 Ad #0000677703