| No. C 153801 | Due no later than Mar 31, 2011
Annual Report Form | 2. Registered Agent and Address (NO PO BOX) |
| Return to: | STEVE
WOOD 12554 W. BRIDGER ST. #108 BOISE ID 83713 |
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SECRETARY OF STATE 700 WEST JEFFERSON PO BOX 83720 BOISE, ID 83720-0080 |
1. Mailing Address: Correct in this box if needed.
CARDIOGRIP IPH, INC. STEVE WOOD PO BOX 606 EAGLE ID 83616 |
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| 3. New Registered Agent Signature:* | ||
| NO FILING FEE IF RECEIVED BY DUE DATE |
| 4. Corporations: Enter Names and Business Addresses of President, Secretary, and Directors. Treasurer (optional). |
| Office Held | Name | Street or PO Address | City | State | Country | Postal Code |
| DIRECTOR | DAVE WOOD | 12554 W. BRIDGER ST. #108 | BOISE | ID | USA | 83713 |
| DIRECTOR | STINSON SLAWSON | 12554 W. BRIDGER ST. #108 | BOISE | ID | USA | 83713 |
| DIRECTOR | DALE WEST | 12554 W. BRIDGER ST. #108 | BOISE | ID | USA | 83713 |
| DIRECTOR | STEVE OUGH | 12554 W. BRIDGER ST. #108 | BOISE | ID | USA | 83713 |
| SECRETARY | JOHN GRIFFITHS | 12554 W. BRIDGER ST. #108 | BOISE | ID | USA | 83713 |
| PRESIDENT | STEVE WOOD | 12554 W. BRIDGER ST. #108 | BOISE | ID | USA | 83713 |
| 5. Organized Under the Laws of: | 6. Annual Report must be signed.* | |
| ID C 153801 | Signature: Steve Wood | Date: 02/11/2011 |
| Name (type or print): Steve Wood | Title: President | |
| Processed 02/11/2011 | * Electronically provided signatures are accepted as original signatures. | |