Form 252 - Certificate Of Organization Professional Limited Liability Company - 2010 Page 2

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INSTRUCTIONS
Optional: If the document requires a correction, please list a telephone number where we can reach you.
Complete and submit the application in duplicate.
Line 1. Enter the name of the professional limited liability company. Pursuant to Idaho Code § 30-6-108, the name of
the professional limited liability company must contain the words Professional Limited Liability Company,
Professional Limited Company or the abbreviation P.L.L.C., or PLLC. It is advised that you contact the Secretary
of State office to check for name availability before filing.
Only the professions listed may use this form. --"Professions shall be held to include the practices of
architecture, chiropractic, dentistry, engineering, landscape architecture, law, medicine, nursing, occupational
therapy, optometry, physical therapy, podiatry, professional geology, psychology, certified or licensed public
accountancy, social work, surveying and veterinary medicine, and no others." [30-6-102, Idaho Code]
Line 2. Enter the complete street and mailing address of the of the initial designated office.
Line 3. Enter the name and complete street address of the registered agent of the professional limited liability company.
A registered agent is the person designated to receive service of process upon litigation. This person must
be located in Idaho at a physical address. Post Office boxes and commercial personal mail boxes are not
acceptable.
Line 4. Enter the name and address of at least one (1) member or manager of the professional limited liability
company. This is required by Idaho Code § 30-6-201; it is not necessary to identify whether the person is a
member or a manager.
Line 5. Enter the mailing address for future correspondence. This is needed in order to have an address to which
Annual Report notices can be mailed.
Line 6: Optional: Enter a future effective date of filing. The effective date can be up to ninety (90) days after the date
the Certificate of Organization is filed with the Secretary of State. Idaho Code § 30-6-205.
Line 7: Enter the principal profession or professions for which members are duly licensed or otherwise legally
authorized to render professional services. See Idaho Code § 30-6-102(20) for the list of professions.
The document must be signed by a manager, member or authorized person. Only one signature is required, but
space has been provided for more than one.
Other statements not in the Certificate of Organization may be made in attachments. Please do not attach operating
agreements, these items are not filed with this office. [30-6-201(3), Idaho Code]
Enclose the appropriate fee:
The filing fee is $100.00.
If expedited service is requested, add $20.00 to the filing fee.
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.

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