- - American LegalNet, Inc. www.FormsWorkFlow.com Host Home 226 Registration Washington Secretary of State Revised 0/1 INSTRUCTIONS 226 HOST HOME REGISTRATION Please complete all sections of the Host Home Registration. USE DARK INK ONLY. For an electronic, fillable version of this form, please visit our website at www.sos.wa.gov/corps . FEES: Host Home Registration is $20.00 in addition to any other fees. If expedited service is requested then include an additional $50.00 and write 223EXPEDITE224 on the outside of the envelope. Make the checks or money orders payable to 223Secretary of State224. (ALL fees are non-refundable and all documents are public record) UBI NUMBER: Please enter your existing Unified Business Identifier (UBI Number) if applicable. NAME: Enter the name of the corporation as currently recorded with the Office of the Secretary of State. If this registration is attached to NEW Nonprofit Articles of Incorporation make sure the name matches exactly as what is being requested in the Articles. STATEMENT: In this section you are stating that you have met the statutory requirements of a Host Home Program as provided in RCW 74.15.020. SIGNATURE AND NOTARIZATION: This is a required part of the Host Home Registration. Sign and print your name in the presence of a notary public and include the appropriate seal from the notary public. Mail completed forms and payment to: In Person: By Mail: Secretary of State Secretary of State Corporations Division Corporations Division 801 Capitol Way S PO BOX 40234 Olympia, WA 98501 - 1226 Olympia, WA 98504 - 0234 If you have questions, need assistance, or would like to provide feedback please visit the Corporations Division website at www.sos.wa.gov/corps, call 360-725-0377 or email corps@sos.wa.gov . American LegalNet, Inc. www.FormsWorkFlow.com