Cummings Family Dentist
APPLICATION TO REGISTER A BUSINESS TO BE CONDUCTED UNDER A TRADE NAME STATE OF GEORGIA COUNTY OF FORSYTH The undersigned hereby certifies that it is conducting a business in the City of Cumming, County of Forsyth, State of Georgia under the name of: Cummings Family Dentist and that the nature of the business is dental practice and that said business is composed of the following: (Limited Liability) Business address: CFD dental LLC 309 Pirkle Ferry Road, Suite C100 Cumming, Georgia 30040 This affidavit is made in compliance with Georgia Code Annotated Title 10 Chapter 1 Section 490. 151194 9/3, 9/10
