Form 252 - Certificate Of Organization Professional Limited Liability Company

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252
CERTIFICATE OF ORGANIZATION
PROFESSIONAL LIMITED
RESET FORM
LIABILITY COMPANY
Title 30, Chapters 21 and 25, Idaho Code
Base Filing fee: $100.00
Complete and submit the application in duplicate.
1. The name of the professional limited liability company is:
2. The complete street and mailing addresses of the principal office is:
(Street Address)
(City)
(State)
(Zipcode)
(Mailing Address, if different)
(City)
(State)
(Zipcode)
3. Name and street address of registered agent in Idaho:
(Name)
(Address)
(City)
(State)
(Zipcode)
4.
The name and address of at least one governor of the limited liability company:
(Name)
(Address)
(City)
(State)
(Zipcode)
(Name)
(Address)
(City)
(State)
(Zipcode)
(Name)
(Address)
(City)
(State)
(Zipcode)
5. Mailing address for future correspondence (annual report notices):
(Address)
(City)
(State)
(Zipcode)
6. The limited liability company is a professional company, and the principal profession or professions for which members are
duly licensed or otherwise legally authorized to render professional services is:
Architecture
Secretary of State use only
7.
Signature of a manager, member, or an organizer.
Printed Name:
Signature:
Printed Name:
Signature:
Rev. 07/2015

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