Office of the Minnesota
Secretary of State
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 customers to be able to identify the true owner of a business.
Clearwater Travel Plaza
950 State Highway 24 Clear Lake MN 55320 USA
CTP, Inc. 4747 109th Avenue Clear Lake MN 55319 USA
If you submit an attachment, it will be incorporated into this document. If the attachment conflicts with the information specifically set forth in this document, this document supersedes the data referenced in the attachment.
By typing my name, I, the undersigned, certify that I am signing this document as the person whose signature is required, or as agent of the person(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: Tracie Davis
MAILING ADDRESS: 4747 109th Avenue Clear Lake MN 55319
EMAIL FOR OFFICIAL NOTICES: olyice@comcast.net
Note: An Annual Renewal is required to be filed once every calendar year, beginning in the calendar year following the original filing with the Secretary of State.
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.
List the exact assumed name under which the business is or will be conducted: (Required)
Clearwater Travel Plaza
Principal Place of Business: (Required)950 State Highway 24 Clear Lake, MN 55320
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: (Required) Note: A PO Box by itself is not acceptable. Attach additional sheet(s) if necessary.
CTP, Inc. 4747 109th Avenue Clear LakeMN 55319
J, the undersigned, certify that I am signing this document as the person whose signature is required, or as agent of the person(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 T 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
rc·:ubject to the penalties of petjury as set forth in Section 609.48 as if I had signed this document under oath.
‘Signature (Only one nameholder or an authorized agent is required to sign)
David M. Olson, President
Email Address for Official Notices
Enter an email address to which the Secretary of State can forward official notices required by law and other notices:
[Check here to have your email address excluded from requests for bulk data, to the extent allowed by Minnesota law.
Office of the Minnesota Secretary of State
Assumed Name I Certificate of Assumed Name
Minnesota Statutes, Chapter 333
List a name and daytime phone number of a person who can be contacted about this form:
/s/ Daniel D. Ganter, Jr. 763-783-5127
