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CERTIFICATE OF ORGANIZATION PROFESSIONAL LIMITED LIABILITY COMPANY Title 30, Chapters 21 and 25, Idaho Code Filing fee: $100 typed, $120 not typed Complete and submit the application in duplicate. Secretary of State use only 7. Signature of a manager, member, or an organizer. Printed Name: Signature: Printed Name: Signature: Rev. 11/2017 1. The name of the professional limited liability company is: 2. The complete street and mailing addresses of the principal of�ce is: 3. Name and street address of registered agent in Idaho: 4. The name and address of at least one governor of the limited liability company: 5. Mailing address for future correspondence (annual report notices): 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: 252 Architecture (Street Address) (Mailing Address, if different) (Address) (Name) (Address) (Name) (Address) (Name) (Address) (Name) (Address) 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 § 30-21-301, 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 of�ce to check for name availability before �ling. 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, certi�ed or licensed public accountancy, social work, surveying and veterinary medicine, and no others ." See Idaho Code § 30-21- 901(b) for the list of professions. Line 2. Enter the complete street and mailing address of the of the principal of�ce. 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 Of�ce boxes and commercial personal mail boxes are not acceptable. Line 4. Enter the name and address of at least one (1) governor 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. Governor means, a manager of a manager-managed limited liability company, or a member of a member-managed limited liability company. 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: Enter the principal profession or professions for which members are duly licensed or otherwise legally authorized to render professional services. See Idaho Code § 30-21-901(b) for the list of professions. The document must be signed by an organizer. Only one signature is required, but space has been provided for more than one. Other statements not in the Certi�cate of Organization may be made in attachments. Please do not attach operating agreements, these items are not �led with this of�ce. [30-25-201(c), Idaho Code] Enclose the appropriate fee (make checks payable to Idaho Secretary of State: The �ling fee is $100.00. ($120 if not typed) If expedited service is requested, add $20.00 to the �ling fee. If the fees are to be paid from the �ling 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 Of�ce may delete a business entity �ling from our database if payment for the �ling is not completed. Mail or deliver to: Of�ce 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 of�ce at (208) 334-2301.Phone Number Email address