SECRETARY OF STATE CERTIFICATE OF ASSUMED NAME

STATE OF MINNESOTA
SECRETARY OF STATE
CERTIFICATE OF ASSUMED NAME
Minnesota Statutes Chapter 333
1. List the exact assumed name under which the business is or will be conducted: Essentia Health Ely Pharmacy
2. State the address of the principal place of business: 1500 E. Sheridan Street, Suite 100, Ely, MN 55731-1855.
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. Attach additional sheet(s) if necessary: The Duluth Clinic, Ltd., 400 E. 3rd Street, Duluth, MN 55805
4. 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 penalties of perjury as set forth in Section 609.48 as if I had signed this document under oath.
Michael R. Watters, Chief Legal Officer
tammy.lamirande@essentiahealth.org
Date: 8/31/21