Certificate of Assumed Name
Minnesota Statutes
Chapter 333
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. List the exact name under which the business is or will be conducted:
Crop Insurance Specialists
2. Principal Place of Business:
2340 26th Street, Slayton, MN 56172
3. List the name and complete address of all persons conducting business under the above Assumed Name. OR if an entity, provide th legal corporate, LLC, or Limited Partnership name and registered office address (required0. Note: A PO Box by itself is not acceptable.
CGB Diersified Services, Inc., 2345 Rice Street, Suite 230, Roseville MN 55113.
4. I, the undersigned, certify that I am signing this document as the person whose signature is required, or as agent of the persons(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.
Signed by: Ellie Utter
Date: May 24, 2016
Ellie Utter, Secretary
F-6-1,8
