Foreign Registration Statement {202}

202 FOREIGN REGISTRATION STATEMENT Title 30, Chapter 21, Idaho Code Filing fee: $100 Complete and submit the form in duplicate. 1. The name of the entity is: 2. The name which it shall use in Idaho is: 3. Select the type of entity you wish to register: Business Corporation Limited Liability Partnership Limited Liability Company Other: (Enter a name here, only if you are required to adopt an alternate name) General Partnership General Cooperative Association Limited Partnership (Including a limited liability limited partnership Statutory Trust, Business Trust, or Common-law Business Trust (Use "Other" only if your foreign entity type is not listed above, and enter the type here.) (Provide the domestic jurisdiction where the entity was formed) 4. Jurisdiction of formation: (Street Address) (Mailing Address, if different) (Street Address) (Mailing Address, if different) 7. The mailing address to which correspondence should be addressed, if different from item 5, is: (Address) 8. Name and street address of registered agent in Idaho: (Name) (Address) 9. The name, capacity, and mailing address of at least one governor: (Name) (Capacity) (Address) (Name) (Capacity) (Address) Typed Name: Signature: Capacity: Rev. 0 /2015 American LegalNet, Inc. www.FormsWorkFlow.com Secretary of State use only INSTRUCTIONS If the document is incorrect, provide contact information where can you be reached for corrections: Phone Number Email address Note: Complete and submit the application in duplicate. This application must be accompanied b a ce ti cate o e istence o om the date o lin ith this o ce. Lines 1 & 2 oodstandin dated ithin da s Line 3 Line 4 Line 5 Line 6 Line 7 Line 8 - Enter the name and street address must Line LP or LLP: Corporation: LLC: Member or nclose the certi cate o oodstandin or certi cate o e istence rom our domestic state. American LegalNet, Inc. www.FormsWorkFlow.com 202 FOREIGN REGISTRATION STATEMENT Title 30, Chapter 21, Idaho Code Filing fee: $10 Complete and submit the form in duplicate. 1. The name of the entity is: 2. The name which it shall use in Idaho is: 3. Select the type of entity you wish to register: Business Corporation Limited Liability Partnership Limited Liability Company Other: (Enter a name here, only if you are required to adopt an alternate name) General Partnership General Cooperative Association Limited Partnership (Including a limited liability limited partnership Statutory Trust, Business Trust, or Common-law Business Trust (Use "Other" only if your foreign entity type is not listed above, and enter the type here.) (Provide the domestic jurisdiction where the entity was formed) 4. Jurisdiction of formation: (Street Address) (Mailing Address, if different) (Street Address) (Mailing Address, if different) 7. The mailing address to which correspondence should be addressed, if different from item 5, is: (Address) 8. Name and street address of registered agent in Idaho: (Name) (Address) 9. The name, capacity, and mailing address of at least one governor: (Name) (Capacity) (Address) (Name) (Capacity) (Address) Typed Name: Signature: Capacity: Rev. 0 /2015 American LegalNet, Inc. www.FormsWorkFlow.com Secretary of State use only