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UNINCORPORATED NONPROFIT ASSOCIATION APPOINTMENT OF AGENT FOR SERVICE OF PROCESS
Assoc. #
____________________
(Assigned by the Secretary of State Office)
To the Secretary of State of the State of Idaho:
1. The name of the nonprofit association is: _____________________________________________________________________________
2. The principal address of the nonprofit association is: _____________________________________________________________________________
3. The name and street address of the agent authorized to receive service of process for the association are: (Registered agent must be located at a street address in Idaho -- PO, PMB, and addresses outside Idaho are not
acceptable.)
_____________________________________________________________________________ _____________________________________________________________________________
Signature of agent: ________________________________________________ Dated _________________________________ Signature of a member of the nonprofit association: _________________________________________ Dated: ________________________________
Mail to: Idaho Secretary of State 450 N 4th Street PO Box 83720 Boise ID 83720-0080
Secretary of State use only
NO FEE REQUIRED
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