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, Vanessa Wyche Graham, hereby certify that (I 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:
GrapeVine Functional Solutions
ADDRESS: 4115 Columbia Rd, Ste 5 PMB 205, Martinez, GA 30907 (CONTACT NUMBER: 706.799.7972
NATURE OF BUSINESS: Functional Counseling & Coaching Services
NAME(S): Vanessa Wyche Graham
ADDRESS(ES):
correspondence: 4115 Columbia Rd, Ste 5 PMB 205, Martinez, GA 30907
residence: 1194 Stone Meadows Court, Grovetown, GA 30813
This 13 day of January, 2026.
/s/Vanessa Wyche Graham
As its: Owner
Print Title: PhD, MSN, RN, LPClc