Application For Registration Of Foreign Name Or Renewal Of Foreign Name Registration {261}

261 APPLICATION FOR REGISTRATION OF FOREIGN NAME OR RENEWAL OF FOREIGN NAME REGISTRATION Secretary of State of the State of Idaho: Pursuant to Section 30-21-304, Idaho Code 1. The name of the entity: 2. The name in which it shall use in Idaho: 3. It is formed under the laws of: 4. The date of its formation is: 5. This application is accompanied by an original certificate of existence or good standing executed by the secretary of state or official having custody of the entity's public organic record in the jurisdiction of formation. 6. Check here if a renewal. Signed Typed Name Capacity Note: The fee for a new registration is $5.00 for every month or part thereof remaining in the calendar year. The fee for renewing a registration for one calendar year is $60.00. Filing Office Use Only Submit application and certificate of status to: Office of the Secretary of State 700 W Jefferson PO Box 83720 Boise, Idaho 83720-0080 g:\corp\forms\misc forms\name registration.pm6 Revised 09/2015 American LegalNet, Inc. www.FormsWorkFlow.com INSTRUCTIONS Optional: If the document is incorrect where can you be reached for questions? Complete and submit the application in duplicate . NOTE: An application for name registration is for an out of state entity which does not intend to transact business in Idaho. The entity only wishes to register the name in Idaho. Line 1: Enter the name of the entity as it was filed in the domestic state of formation. Line 2: If the entity name on line 1 of the application does not contain one of the words required by Idaho code 30-21-302 the entity must adopt an alternate name to use in Idaho and indicate such name on line 2. Line 3: Enter the state of its formation. Line 4: Enter the date of formation in its state . This date must be exact and include the day, moth & year. Line 5: The application must be accompanied by a certificate of existence (may also be called a certificate of goodstanding), dated within 90 days from the date of filing with this office. Please note this certificate is a one page document issued from the filing office where the articles of incorporation are filed. This certificate is not a certified copy, nor is it a certificate regarding tax status. Line 6. Mark the box only if this is a renewal to an existing application for a name registration already on file with this office. All name registrations expire on December 31 of each year. The application must be signed by an officer or member/manager of the entity. The person signing the document must be identified by typing his/her name below the signature and indicating in what capacity they are signing Enclose the appropriate fee: a. If this is the first time filing, the fee is $60.00 or $5.00 per month for the remainder of the calendar year. b. If this is a renewal for the following year, and if filed between October 1 and December 31, the fee is$60.00. c. If the form is handwritten or expedited service is requested, add $20.00 to the filing fee. d. If the fees are to be paid from the filing party's pre-paid customer account, conspicuously indicate the customer account number in the cover letter or transmittal document. Pursuant to Idaho Code § 67-910(6), the Secretary of State's Office may delete a business entity filing from our database if payment for the filing is not completed. Mail or deliver to: Office of the Secretary of State 450 N 4th Street PO Box 83720 Boise ID 83720-0080 If you have questions or need help, call the Secretary of State's Office at (208) 334-2301. American LegalNet, Inc. www.FormsWorkFlow.com