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Affidavit-Annual Report YMCA V1AFFIDAVIT OF LEGAL INTEREST STATE OF IDAHO ) COUNTY OF ADA ) I, David L. Duro CEO & President of The Young Men's Christian Association of Boise City, Idaho (name) _ 1 177 W. State Street Boise Idaho 83702 (address) (city) (state) being first duly sworn upon, oath, depose and say: That I am the record owner of the property described on the attached, and I grant lily permission to: Kelly Kehrer, P.E., P.L.S., KM Engineering, 9233 W. State Street (name) Boise, ID 83714 (address) to submit the accompanying application(s) pertaining to that property. 2. I agree to indemnify, defend and hold the City of Meridian and its employees harmless frotn any claim or liability resulting from any dispute as to the statements contained herein or as to the ownership of the property which is the subject of the application. 3. 1 hereby grant permission to City of Meridian staff to enter the subject property For the purpose of site inspections related to processing said application(s). Dated this day of Match, 2017. THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF BOISE CITY, IDAHO, a tax-exempt Idaho non-profit corporation Bq: 'David L. Duro Its: CEO & President S[JQ,J • 'P ®•{�°ND SWORN to before me the day and year first above written. ��' © •® ® o PRY © ® a (Notary blic for Idaho) v ® PUB Residingat:nn� e� My Commission Expires: l� ' OL a ®B°OB sT A T E 0F 0 °B8g8B8880W"' Community Development ■ Planning Division ■ 33 E. Broadway Avenue, Ste. 102 Meridian, Idaho 83642 Phone: 208-884-5533 Fax: 208-888-6854 www.meridimicitv.ora/plannine 09287-042;930493 Annual Report for C 4342 Page 1 of 1 2• Registered Agent and Address No. C 4342 Due no later than Feb 28, 2017 Annual Report Form (NO PO BOX) Return to: DAVID L DURO SECRETARY OF STATE 1177 W. STATE STREET 1. Flailing Address: Correct in this box if needed. 700 WEST JEFFERSON YOUNG MEN'S CHRISTIAN ASSOCIATION OF BOISE CITY, BOISE ID 83702 PO BOX 83720 IDAHO (THE) BOISE, ID 83720-0080 DAVID L DURO 3. New Registered Agent Signature:* 1177 W. STATE STREET NO FILING FEE IF BOISE ID 83702 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 JOHN ASHBY 1177 W. STATE STREET BOISE ID USA 83702 DIRECTOR JEFF TONKIN 1177 W. STATE STREET BOISE ID USA 83702 DIRECTOR RONDA CONGER 1177 W. STATE STREET BOISE ID USA 83702 DIRECTOR NED PONTIOUS 1177 W. STATE STREET BOISE ID USA 83702 DIRECTOR SUSAN SMITH 1177 W. STATE STREET BOISE ID USA 83702 DIRECTOR HEATHER SABALA 1177 W. STATE STREET BOISE ID USA 83702 DIRECTOR ERIK PRAY 1177 W. STATE STREET BOISE ID USA 83702 DIRECTOR CHARINA NEWELL 1177 W. STATE STREET BOISE ID USA 83702 DIRECTOR SCOTT KREILING 1177 W. STATE STREET BOISE ID USA 83702 DIRECTOR EVELYN JOHNSON 1177 W. STATE STREET BOISE ID USA 83702 DIRECTOR JANE HARDISON 1177 W. STATE STREET BOISE ID USA 83702 DIRECTOR JANIE GROFF 1177 W. STATE STREET BOISE ID USA 83702 DIRECTOR JIM CLEARY 1177 W. STATE STREET BOISE ID USA 83702 DIRECTOR JIM CHALFANT 1177 W. STATE STREET BOISE ID USA 83702 DIRECTOR CATHY AMMIRATI 1177 W. STATE STREET BOISE ID USA 83702 DIRECTOR RICH RAIMONDI 1177 W. STATE STREET BOISE ID USA 83702 DIRECTOR KRIS ORMSETH 1177 W. STATE STREET BOISE ID USA 83702 DIRECTOR MAUREEN O'KEEFFE 1177 W. STATE STREET BOISE ID USA 83702 DIRECTOR KAY ALSPAUGH 1177 W. STATE STREET BOISE ID USA 83702 DIRECTOR BOB WRIGHT 1177 W. STATE STREET BOISE ID USA 83702 PRESIDENT DAVID L DURO 1177 W. STATE STREET BOISE ID USA 83702 DIRECTOR JAMES PETERSON 1177 W. STATE STREET BOISE ID USA 83702 DIRECTOR KATE HAAS 1177 W. STATE STREET BOISE ID USA 83702 DIRECTOR BETH OPPENHEIMER 1177 W. STATE STREET BOISE ID USA 83702 TREASURER TOM O'NEIL 1177 W. STATE STREET BOISE ID USA 83702 DIRECTOR DAVE SELF 1177 W. STATE STREET BOISE ID USA 83702 DIRECTOR THERESA MADRID 1177 W. STATE STREET BOISE ID USA 83702 DIRECTOR LEIF ELGEfHUN 1177 W. STATE STREET BOISE ID USA 83702 DIRECTOR TOM CORRICK 1177 W. STATE STREET BOISE ID USA 83702 DIRECTOR BILL BANKHEAD 1177 W. STATE STREET BOISE ID USA 83702 DIRECTOR TRAVIS DRYDEN 1177 W STATE STREET BOISE ID USA 83702 DIRECTOR SHARON BURKE 1177 W STATE STREET BOISE ID USA 83702 DIRECTOR ALEX ZAMORA 1177 W. STATE STREET BOISE ID USA 83702 5. Organized Under the Laws of: 6. Annual Report must be signed.* ID Signature: David Duro (Amy Colgan as Proxy) Date: 01/04/2017 C 4342 Name (type or print): David Duro (Amy Colgan as Proxy) Title: President and CEO Processed 01/04/2017 * Electronically provided signatures are accepted as original signatures. h44rxc•Ilxxnxnxr cnc irlahn rnx,/. t/7vn—o/ S(�f117(11(140/ SC'XIUTT .P(1RTC C4147 1 7n 1 O41 nil X 5/7/7017