Affidavit of Legal InterestAFFIDAVIT OF LEGAL INTEREST
UT-0-
STATE OF RhO4O )
COUNTY OF A-;R )
SU1112L7'
(name) (address)
(2)- R 1
(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 my
permission to:
1JL c- . -Po D ?ter � f f�k�o (2d '21
(name) (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
from 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.
I 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—:1U I u 20'Z-f
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first above written.
GREG FLINT otary Public fore)
NOTARYPUBLIC-STATE OF UTAH ^� VrIk _
COMMISSION EXP. 0311612025 Residing at: f 7ee PCc f- IC A e, c
COMM15510N NO, 717363 / � F� y+ 5 q0 U
My Commission Expires: '3 l L Ce l;,-6 2-5
(Rev 05/29120)
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0004151654
SAT SEAL
1E�`
STATE OF IDAHO
�¢ °
Office of the secretary of state, Lawerence Denney
y 4
C
ANNUAL REPORT
*�
R
Idaho Secretary of State
PO Box 83720
ATE o4
Boise, ID 83720-0080
(208) 334-2301
Filing Fee: $0.00
For Office Use Only
-FILED-
File #: 0004151654
Entity Name and Mailing Address:
Entity Name: Hotel Developers - Meridian HIX, LLC
The file number of this entity on the records of the Idaho Secretary 0003813541
of State is:
Address PO BOX 1491
IDAHO FALLS, ID 83403-1491
Entity Details:
Entity Status Active -Existing
This entity is organized under the laws of: IDAHO
If applicable, the old file number of this entity on the records of the
Idaho Secretary of State was:
The registered agent on record is:
Registered Agent BALL MANAGEMENT LLC
Registered Agent
Physical Address
3640 S YELLOWSTONE HWY
IDAHO FALLS, ID 83402
Mailing Address
Agent or Address Change
❑ Select if you are appointing a new agent.
Limited Liability Company Managers and Members
Name
Title
Business Address
0 Derek Ence
Manager
PO BOX 1491
IDAHO FALLS, ID 83403
The annual report must be signed by an authorized signer of the entity.
Job Title: Manager
Derek Ence
Sign Here
0210312021
Date
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0003813541
SAT SEAL
STATE OF IDAHO
Office of the secretary of state, Lawerence Denney
y 4
c
CERTIFICATE OF ORGANIZATION LIMITED LIABILITY COM
*�
R
Idaho Secretary of State
PO Box 83720
ATE o4
Boise, ID 83720-0080
(208) 334-2301
Filing Fee: $100.00 - Make Checks Payable to Secretary of State
Certificate of Organization Limited Liability Company
Select one: Standard, Expedited or Same Day Service (see Standard (filing fee $100)
descriptions below)
For Office Use Only
-FILED-
File #: 0003813541
171ra91 1
1. Limited Liability Company Name
Type of Limited Liability Company Limited Liability Company
Entity name Hotel Developers - Meridian HIX, LLC
2. The complete street address of the principal office is:
Principal Office Address
3. The mailing address of the principal office is:
Mailing Address
4. Registered Agent Name and Address
Registered Agent
5. Governors
3640 S. YELLOWSTONE HWY
IDAHO FALLS, ID 83402
3640 S YELLOWSTONE HWY
IDAHO FALLS, ID 83402-4703
BALL MANAGEMENT LLC
Registered Agent
Physical Address
3640 S YELLOWSTONE HWY
IDAHO FALLS, ID 83402
Mailing Address
Name
Address
Derek Ence
3640 S. YELLOWSTONE HWY
IDAHO FALLS, ID 83402
Signature of Organizer:
Derek C. Ence 031.1412020
Sign Here Date
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