| No. C 188132 | Due no later than Aug 31, 2011
Annual Report Form | 2. Registered Agent and Address (NO PO BOX) |
| Return to: | TRISH
ODONAHUE 1526 WASHINGTON AVE BURLEY ID 83318 |
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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.
BURLEY CHRISTIAN EDUCATION ASSOCIATION, INCORPORATED TRISH O'DONAHUE PO BOX 637 BURLEY ID 83318 USA |
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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 | RAY TAYLOR | 436 E 13TH ST | BURLEY | ID | USA | 83318 |
| DIRECTOR | DAVID ODONAHUE | 1526 WASHINGTON AVE | BURLEY | ID | USA | 83318 |
| 5. Organized Under the Laws of: | 6. Annual Report must be signed.* | |
| ID C 188132 | Signature: Trish O'Donahue | Date: 06/20/2011 |
| Name (type or print): Trish O'Donahue | Title: Registered Agent | |
| Processed 06/20/2011 | * Electronically provided signatures are accepted as original signatures. | |