| No. W 91004 | Due no later than Feb 28, 2011
Annual Report Form | 2. Registered Agent and Address (NO PO BOX) |
| Return to: | IDAHO ESTATE PLANNING PC 1155 E WINDING CREEK DR EAGLE ID 83616 USA |
|
|
SECRETARY OF STATE 700 WEST JEFFERSON PO BOX 83720 BOISE, ID 83720-0080 |
1. Mailing Address: Correct in this box if needed.
"C" INVESTMENT CO., LLC IDAHO ESTATE PLANNING, PC 1155 E WINDING CREEK DR EAGLE ID 83616 |
|
| 3. New Registered Agent Signature:* | ||
| NO FILING FEE IF RECEIVED BY DUE DATE |
| 4. Limited Liability Companies: Enter Names and Addresses of at least one Member or Manager. |
| Office Held | Name | Street or PO Address | City | State | Country | Postal Code |
| MEMBER | JAY & CAROL COX LIVING TRUST | 799 KLAMATH AVE | NYSSA | OR | USA | 97913 |
| 5. Organized Under the Laws of: | 6. Annual Report must be signed.* | |
| ID W 91004 | Signature: Jay Cox | Date: 12/15/2010 |
| Name (type or print): Jay Cox | Title: Co Trustee | |
| Processed 12/15/2010 | * Electronically provided signatures are accepted as original signatures. | |