CLERK OF
SUPERIOR COURT
REGISTRATION OF
TRADE NAME
(PURSUANT TO
GA CODE 10-1-490)
STATE OF GEORGIA
COUNTY OF COLUMBIA
AFFIDAVIT OF BUSINESS CONDUCTED
UNDER TRADE NAME
I/WE, Georgia Dental Professionals, PC, hereby certify that (l AM) or (WE ARE) the owner(s) of a certain business in Columbia County, Georgia, now being carried on as follows:
GEORGIA TRADE NAME OF: Belair Dental Associates
ADDRESS: 345 N. Belair Rd., Evans, GA 30809
CONTACT NUMBER:
217-540-5100
NATURE OF BUSINESS: General Dentistry
The business is composed of the following person/
persons/corporation:
NAME(S): Georgia Dental Professionals, PC
ADDRESS(ES): 1200 Network Centre Drive, Effingham, IL 62401
This 17th day of July, 2025.
By: /s/ Jennifer Hiester
Print Name: Jennifer Hiester
As its: Vice President
Print Title: Vice President