CERTIFICATE OF ASSUMED NAME HOMEWATCH CAREGIVERS OF BURNSVILLE

CERTIFICATE OF ASSUMED NAME

MINNESOTA SECRETARY OF STATE

Minnesota Statutes Chapter 333

1. List the exact assumed name under which the business is or will be conducted:Homewatch Caregivers of Burnsville and the Greater South Metro

2. Principal place of Business: 14500 Burnhaven Drive, Suite 150 Burnsville, MN 55306

3. 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: LMW Partners, Inc., 15247 Fox Trail Ct. NW, Prior Lake, MN 55372

4. I, the undersigned, certify that I am signing this document as the person(s) 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.

December 24, 2012

/s/Mark Pontliana, President

Mark Pontliana, contact person

612-306-5785

2/7-2/14/2013

Tags: public notices, general legals