202 FOREIGN REGISTRATION STATEMENT Title 30, Chapter 21, Idaho Code RESET FORM Filing fee: $100 typed, $120 not typed 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 Nonprofit 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: 5. The address of its principal office is: (Street Address) (Mailing Address, if different) 6. The address of its domestic principal office (if required by the laws of the jurisdiction of formation) is: (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. 08/2015 Secretary of State use only American LegalNet, Inc. www.FormsWorkFlow.com 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 by a certificate of existence (or goodstanding), dated within 90 days from the date of filing with this office. A certified copy of the articles of incorporation or a certificate of tax status will NOT be accepted. � Lines 1 & 2 - Enter the name of the corporation exactly as it reads from the certificate of existence from the domestic state. Complete item 2 only if: (1) the corporation must adopt an alternate name to avoid a conflict with an existing name on the records of the Secretary of State, or (2) the corporation's true name does not include one of the words of incorporation required by section 30-21-302, Idaho Code, and such word is added to the true name in item 2. A corporate name must include corporation, incorporated, company, limited, or any abbreviation thereof. Line 3 - Select the type of entity you wish to register in Idaho. If your entity type is not listed, select "other" and print the domestic entity type in the space provided. Line 4 - Enter the domestic state. Line 5 - Enter the street address of its principal office. Enter the mailing address if it is different from the street address. Line 6 - If required by the laws of the jurisdiction of formation, enter the street and mailing addresses of the domestic principal office. Line 7 - Enter the address you would like future reports mailed to, if different from the address(es) in #5. Line 8 - Enter the name and street address of the registered agent for the corporation. A registered agent is the person designated to receive service of process upon litigation. This person must be located in Idaho at a street address. If you do not have anyone to act as your registered agent in Idaho you may contact the Secretary of State for a list of companies which offer such representation in Idaho. Line 9 - Enter the names and business addresses of the governors. Corporation: Officer or Director; LLC: Member or Manager; LP or LLP: General Partner or Partner. Sign the application. Please identify the name of the signer by typing his/her name and indicate in what capacity they are signing. *Enclose the certificate of goodstanding or certificate of existence from your domestic state. Enclose the appropriate fee (make checks payable to Idaho Secretary of State). a. If the application is typed, the fee is $100. b. If the application is not typed, the fee is $120. c. If expedited service is requested, add $20 to the fee. d. If the fees are to be paid from the filing party's pre-paid customer account, enter the customer account number in the indicated space. 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. To help determine if you are legally doing business in Idaho: Idaho Code, 30-21-505. ACTIVITIES NOT CONSTITUTING DOING BUSINESS. � � � � � � � � � � � � � American LegalNet, Inc. www.FormsWorkFlow.com 202 FOREIGN REGISTRATION STATEMENT Title 30, Chapter 21, Idaho Code Filing fee: $100 typed, $120 not typed 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 Nonprofit 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: 5. The address of its principal office is: (Street Address) (Mailing Address, if different) 6. The address of its domestic principal office (if required by the laws of the jurisdiction of formation) is: (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. 08/2015 Secretary of State use only American LegalNet, Inc. www.FormsWorkFlow.com