No.  C 121940 Due no later than Dec 31, 2014
Annual Report Form
2. Registered Agent and Address (NO PO BOX)
Return to: NANCY  TEFFT
1800 LINCOLN WAY STE 201
COEUR D'ALENE     83814
  
SECRETARY OF STATE
700 WEST JEFFERSON
PO BOX 83720
BOISE, ID 83720-0080
1. Mailing Address: Correct in this box if needed.

OPEN ARMS PCC AND REAL CHOICES CLINIC, INC.
NANCY  TEFFT
1800 LINCOLN WAY STE 201
COEUR D ALENE  ID   83814
  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 NANCY  TEFFT  6072 S TALL PINES RD COEUR D'ALENE ID USA 83814
TREASURER SUSAN  TORRENCE  3949 W LOXTON LOOP COEUR D'ALENE ID USA 83815
SECRETARY JENNIFER  BOOKAMER  12524 W HUGHES LANE POST FALLS ID USA 83854
PRESIDENT VITO  BARBIERI  564 E PRAIRIE AVE DALTON GARDENS ID USA 83815
 
 
 5. Organized Under the Laws of:  6. Annual Report must be signed.*
ID
C 121940
Signature: Susan Torrence Date: 10/16/2014
Name (type or print): Susan Torrence Title:  Treasurer
Processed 10/16/2014 * Electronically provided signatures are accepted as original signatures.