Notice Of A Transaction Exempt Under Corporations Code Section 31106 - Department Of Corporations

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Department Use Only ____________________
A.
Department of Corporations
Fee paid (per Corporations Code
File No. ______________________________
Section 31500(f)): $____________________
(Insert file number(s) of prior filings with the Department, if any)
Receipt No. ___________________________
STATE OF CALIFORNIA
DEPARTMENT OF CORPORATIONS
FRANCHISE INVESTMENT LAW
NOTICE OF A TRANSACTION EXEMPT UNDER CORPORATIONS CODE SECTION 31106
SEE INSTRUCTIONS
1.
Type of Filing (check one):
( ) Initial Notice
$450 Fee
( ) Subsequent Notice
$150 Fee
2.
(a)
Name of FILER: _______________________________________________________________
(b)
Principal business address of FILER: _______________________________________________
(c)
The FILER is filing as a (check one):
( ) FRANCHISOR
( ) SUBFRANCHISOR
(d)
If FILER is a SUBFRANCHISOR, the name and principal business address of the
FRANCHISOR: ________________________________________________________________
(e)
Name(s) under which FRANCHISOR does business: ___________________________________
______________________________________________________________________________
3.
Name and address of agent in California authorized to receive service of process:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
4.
The following subdivision paragraph under Corporations Code Section 31106 applies to this transaction
(check one):
( ) (a)(1)
( ) (a)(2)
( ) (a)(3)
5.
Franchise sold:
(a)
Name of franchise or subfranchise: _________________________________________________
(b)
Description of franchised business: _________________________________________________
(c)
Type of franchise (check one):
( ) Franchise ( ) Subfranchise
(d)
Name of all persons to whom the franchise was sold: ___________________________________
______________________________________________________________________________
(e)
Date of sale: ___________________________________________________________________
310.106 (7/98)

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