UNINCORPORATED NONPROFIT ASSOCIATION
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CHANGE OR TERMINATION
OF REGISTERED AGENT FOR SERVICE OF PROCESS
To the Secretary of State of the State of Idaho:
Assoc. # ______________________
1. The current name of the nonprofit association is:
_____________________________________________________________________________
2. The new name of the nonprofit association is:
_____________________________________________________________________________
3. The address of the nonprofit association is:
Check box if address is an address change.
_____________________________________________________________________________
4. The name of the current registered agent is:
_____________________________________________________________________________
5. The name of the new registered agent is:
_____________________________________________________________________________
6. The physical address of the new registered agent is:
_____________________________________________________________________________
I consent to serve as registered agent for the above-named entity.
_______________________________________________________________
(Signature of new registered agent)
By checking this box, the association is terminating the registered agent because the association is
no longer active.
Signature of a member of the nonprofit association:
_____________________________________
Dated: _____________________
Secretary of State use only
Mail to:
Idaho Secretary of State
450 N 4th Street
PO Box 83720
Boise ID 83720-0080
NO FEE REQUIRED
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