PZ - Affidavit of Legal Interest AFFIDAVIT OF LEGAL INTEREST
STATE OF40A4 9-)
NtMdOi )
COUNTY OF A DAr )
Uat`K
I, Meridian 118,LLC 3005 Horizon Ridge Pkwy, Suite 141
(name) (address)
Henderson Nevada
(city) (state)
being first duly sworn upon,oath,depose and say:
1. That I am the record owner of the property described on the attached, and I grant my
permission to:
Toothman-Orton Engineering 332 N. Broadmore Way, Nampa, ID 83687
(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.
3. 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 a '`' day of sees}- -fir- 20 n.1
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first above written.
kkUc, �4ci
(Notary Public for
PATRICIA PENA Neva a
�JF Notary Public,State of Nevada Residing at: qR2 lq Ski xoAy SV �kwt'Son mi
U;
No. 21-4623-01
My Appt. Exp. June 16,2025 My Commission Expires: Otp I(o 11015
(Rev 05/29/20)
BARBARA K. CEGAVSKE 7and
or Amended List
Secretary of State tate Business
202 North Carson StreetCarson City, Nevada 89701-4201 •(775)684-5708 se Application
Website: www.nvsos.gov
www.nvsilverflume.gov
R ANNUAL❑ AMENDED (check one)
List of Officers, Managers, Members, General Partners, Managing Partners, Trustees or Subscribers:
MERIDIAN 118, LLC NV20061104608
NAME OF ENTITY Entity or Nevada Business
Identification Number(NVID)
TYPE OR PRINT ONLY-USE DARK INK ONLY-DO NOT HIGHLIGHT
IMPORTANT.Read instructions before completing and returning this form.
Please indicate the entity type(check only one):
❑ Corporation Filed in the Office of Business Number
E081❑ This corporation is publicly traded,the Central Index Key number is: Filing Number
Filing Number
20201080584
Secretary of State Filed On
❑ Nonprofit Corporation (see nonprofit sections below) State Of Nevada 12/03/2020 11:38:16 AM
Number of Pages
[� Limited-Liability Company 12
❑ Limited Partnership
❑ Limited-Liability Partnership
❑ Limited-Liability Limited Partnership
❑ Business Trust
❑ Corporation Sole
Additional Officers,Managers,Members,General Partners,Managing Partners,Trustees or Subscribers,may be listed on a supplemental page.
CHECK ONLY IF APPLICABLE
Pursuant to NRS Chapter 76,this entity is exempt from the business license fee.
❑ 001-Governmental Entity
❑ 006-NRS 6806.020 Insurance Co,provide license or certificate of authority number
For nonprofit entities formed under NRS chapter 80:entities without 501(c)nonprofit designation are required to maintain a state business license,
the fee is$200.00.Those claiming an exemption under 501(c)designation must indicate by checking box below.
❑ Pursuant to NRS Chapter 76,this entity is a 501(c)nonprofit entity and is exempt from the business license fee.
Exemption Code 002
For nonprofit entities formed under NRS Chapter 81:entities which are Unit-owners'association or Religious,Charitable,fraternal or other
organization that qualifies as a tax-exempt organization pursuant to 26 U.S.0$501(c)are excluded from the requirement to obtain a state business
license. Please indicate below if this entity falls under one of these categories by marking the appropriate box. If the entity does not fall under either of
these categories please submit$200.00 for the state business license.
❑ Unit-owners'Association ❑ Religious,charitable,fraternal or other organization that qualifies as a tax-exempt organization
pursuant to 26 U.S.C.$501(c)
For nonprofit entities formed under NRS Chapter 82 and 80:Charitable Solicitation Information-check applicable box
Does the Organization intend to solicit charitable or tax deductible contributions?
❑ No-no additional form is required
❑ Yes-the"Charitable Solicitation Registration Statement"is required.
❑ The Organization claims exemption pursuant to NRS 82A 210-the"Exemption From Charitable Solicitation Registration Statement"is
required
"Failure to include the required statement form will result in rejection of the filing and could result in late fees"
page 1 of 2
BARBARA K. KE
Secretary of Statetate Annual or Amended List
202 North Carson Street
d Carson City, Nevada 89701-4201 and State Business License
(775)684-5708
�..u,.� g Application - Continued
Website: www.nvsos.gov
www.nvsilverflume.gov
Officers, Managers, Members, General Partners, Managing Partners, Trustees or Subscribers:
CORPORATION, INDICATE THE MANAGER:
[RYNE C STOKER SEPARATE PROPERTY TRUST USA
Name Country
6385 ESCONDIDO _ _� LAS VEGAS NV I [i9119
- — -
Address City State Zip/Postal Code
CORPORATION, INDICATE THE MANAGER:
INSIGHT ADMINISTRATIVE SERVICES LLC USA
Name Country
3005 West Horizon Ridge Pkwy. Ste.141 Henderson NV 89052
Address City State Zip/Postal Code
None of the officers and directors identified in the list of officers has been identified with the fraudulent intent of concealing
the identity of any person or persons exercising the power or authority of an officer or director in furtherance of any
unlawful conduct.
I declare,to the best of my knowledge under penalty of perjury,that the information contained herein is correct and
acknowledge that pursuant to NRS 239.330,it is a category C felony to knowingly offer any false or forged instrument for filing
in the Office of the Secretary of State.
X Jackie Peterson Manager 12/03/2020
Signature of Officer, Manager, Managing Member, Title Date
General Partner, Managing Partner, Trustee,
Subscriber, Member, Owner of Business,
Partner or Authorized Signer FORM WILL BE RETURNED IF
UNSIGNED
page 2 of 2
BARBARA K. CEGAVSKE Annual or Amended List
Secretary of State and State Business
202 North Carson Street
Carson City, Nevada 89701-4201 •
(775)684-5708 License Application
Website: www.nvsos.gov
www.nvsilverflume.gov
R ANNUAL❑ AMENDED (check one)
List of Officers, Managers, Members, General Partners, Managing Partners,Trustees or Subscribers:
INSIGHT ADMINISTRATIVE SERVICES, LLC NV20021108370
NAME OF ENTITY Entity or Nevada Business
Identification Number(NVID)
TYPE OR PRINT ONLY-USE DARK INK ONLY-DO NOT HIGHLIGHT
IMPORTANT.Read instructions before completing and returning this form.
Please indicate the entity type(check only one):
❑ Corporation Filed in the Office of Business Number
❑ Fillinging Number
This corporation is publicly traded, the Central Index Key number is: - � Lu6-2mber
r
20211661199
Secretary of State Filed On
❑ Nonprofit Corporation (see nonprofit sections below) State Of Nevada 08/05/2021 08:52:23 AM
Number of Pages
[� Limited-Liability Company 12
❑ Limited Partnership
❑ Limited-Liability Partnership
❑ Limited-Liability Limited Partnership
❑ Business Trust
❑ Corporation Sole
Additional Officers,Managers, Members,General Partners, Managing Partners,Trustees or Subscribers,may be listed on a supplemental page.
CHECK ONLY IF APPLICABLE
Pursuant to NRS Chapter 76,this entity is exempt from the business license fee.
❑ 001-Governmental Entity
❑ 006-NRS 680B.020 Insurance Co,provide license or certificate of authority number
For nonprofit entities formed under NRS chapter 80:entities without 501(c)nonprofit designation are required to maintain a state business license,
the fee is$200.00.Those claiming an exemption under 501(c)designation must indicate by checking box below.
❑ Pursuant to NRS Chapter 76,this entity is a 501(c)nonprofit entity and is exempt from the business license fee.
Exemption Code 002
For nonprofit entities formed under NRS Chapter 81:entities which are Unit-owners'association or Religious,Charitable,fraternal or other
organization that qualifies as a tax-exempt organization pursuant to 26 U.S.0$501(c)are excluded from the requirement to obtain a state business
license. Please indicate below if this entity falls under one of these categories by marking the appropriate box. If the entity does not fall under either of
these categories please submit$200.00 for the state business license.
❑ Unit-owners'Association ❑ Religious,charitable,fraternal or other organization that qualifies as a tax-exempt organization
pursuant to 26 U.S.C.$501(c)
For nonprofit entities formed under NRS Chapter 82 and 80:Charitable Solicitation Information-check aoolicable box
Does the Organization intend to solicit charitable or tax deductible contributions?
❑ No-no additional form is required
❑ Yes-the"Charitable Solicitation Registration Statement"is required.
❑ The Organization claims exemption pursuant to NRS 82A 210-the"Exemption From Charitable Solicitation Registration Statement"is
required
**Failure to include the required statement form will result in rejection of the filing and could result in late fees.**
page 1 of 2
BARBARA K. KE
Secretary of Statetate Annual or Amended List
202 North Carson Street Car and State Business License
Carson City, Nevada 89701-4201
Website: Application - Continued
Webte: www.nvsos.gov www.nvsilverflume.gov
Officers, Managers, Members, General Partners, Managing Partners, Trustees or Subscribers:
CORPORATION, INDICATE THE MANAGER:
j INSIGHT HOLDINGS, LLC
USA —
Name Country
30( 05 W. Horizon Ridge Pkwy Ste 141 Henderson NV 89052
Address City State Zip/Postal Code
None of the officers and directors identified in the list of officers has been identified with the fraudulent intent of concealing
the identity of any person or persons exercising the power or authority of an officer or director in furtherance of any
unlawful conduct.
I declare,to the best of my knowledge under penalty of perjury,that the information contained herein is correct and
acknowledge that pursuant to NRS 239.330,it is a category C felony to knowingly offer any false or forged instrument for filing
in the Office of the Secretary of State.
X James Zeiter Manager 7 08/05/2021
Signature of Officer, Manager, Managing Member, Title Date
General Partner, Managing Partner, Trustee,
Subscriber, Member, Owner of Business,
Partner or Authorized Signer FORM WILL BE RETURNED IF
UNSIGNED
page 2 of 2
BARBARA K. CEGAVSKE rand
al or Amended List
%k Secretary of StateAf State Business
%�- 202 North Carson StreetCarson City, Nevada 89701-4201 •(775) 684-5708 nse Application
Website: www.nvsos.gov
www.nvsilverflume.gov
R ANNUAL❑ AMENDED (check one)
List of Officers, Managers, Members, General Partners, Managing Partners, Trustees or Subscribers:
INSIGHT HOLDINGS, LLC NV19981008798
NAME OF ENTITY Entity or Nevada Business
Identification Number(NVID)
TYPE OR PRINT ONLY- USE DARK INK ONLY-DO NOT HIGHLIGHT
IMPORTANT.Read instructions before completing and returning this form.
Please indicate the entity type(check only one):
❑ Corporation Filed in the Office of Business Number
LLC8 -1998
❑ This corporation is publicly traded,the Central Index Key number is: Filing umber
� ,(jQ�, ��p Filing Number
_(j`"� 20211245456
Secretary of State Filed On
❑ Nonprofit Corporation (see nonprofit sections below) State Of Nevada 02/18/2021 16:13:53 PM
Number of Pages
Limited-Liability Company 12
❑ Limited Partnership
❑ Limited-Liability Partnership
❑ Limited-Liability Limited Partnership
❑ Business Trust
❑ Corporation Sole
Additional Officers,Managers,Members,General Partners,Managing Partners,Trustees or Subscribers,may be listed on a supplemental page.
CHECK ONLY IF APPLICABLE
Pursuant to NRS Chapter 76,this entity is exempt from the business license fee.
❑ 001-Governmental Entity
❑ 006-NRS 680B.020 Insurance Co,provide license or certificate of authority number
For nonprofit entities formed under NRS chapter 80:entities without 501(c)nonprofit designation are required to maintain a state business license,
the fee is$200.00.Those claiming an exemption under 501(c)designation must indicate by checking box below.
❑ Pursuant to NRS Chapter 76,this entity is a 501(c)nonprofit entity and is exempt from the business license fee.
Exemption Code 002
For nonprofit entities formed under NRS Chapter 81:entities which are Unit-owners'association or Religious,Charitable,fraternal or other
organization that qualifies as a tax-exempt organization pursuant to 26 U.S.0$501(c)are excluded from the requirement to obtain a state business
license. Please indicate below if this entity falls under one of these categories by marking the appropriate box. If the entity does not fall under either of
these categories please submit$200.00 for the state business license.
❑ Unit-owners'Association ❑ Religious,charitable,fraternal or other organization that qualifies as a tax-exempt organization
pursuant to 26 U.S.C.$501(c)
For nonprofit entities formed under NRS Chapter 82 and 80:Charitable Solicitation Information-check applicable box
Does the Organization intend to solicit charitable or tax deductible contributions?
❑ No-no additional form is required
❑ Yes-the"Charitable Solicitation Registration Statement"is required.
❑ The Organization claims exemption pursuant to NRS 82A 210-the"Exemption From Charitable Solicitation Registration Statement"is
required
**Failure to include the required statement form will result in rejection of the filing and could result in late fees.**
page 1 of 2
BARBARA K. KE
Secretary of Statetate Annual or Amended List
202 North Carson Street Car and State Business License
�.. Carson City, Nevada 89701-4201
(775)684-5708 Application - Continued
Website: www.nvsos.gov
www.nvsilverflume.gov
Officers, Managers, Members, General Partners, Managing Partners, Trustees or Subscribers:
CORPORATION, INDICATE THE MANAGER:
-- -
James Zeiter USA
Name -� Country
-- - -
3005 West Horizon Ridge Pkwy 141 Las Vegas NV 89052
Address City State Zip/Postal Code
None of the officers and directors identified in the list of officers has been identified with the fraudulent intent of concealing
the identity of any person or persons exercising the power or authority of an officer or director in furtherance of any
unlawful conduct.
I declare,to the best of my knowledge under penalty of perjury,that the information contained herein is correct and
acknowledge that pursuant to NRS 239.330,it is a category C felony to knowingly offer any false or forged instrument for filing
in the Office of the Secretary of State.
X James Zeiter Manager 1 02/18/2021
Signature of Officer, Manager, Managing Member, Title Date
General Partner, Managing Partner, Trustee,
Subscriber, Member, Owner of Business,
Partner or Authorized Signer FORM WILL BE RETURNED IF
UNSIGNED
page 2 of 2
ENTITY INFORMATION
ENTITY INFORMATION
Entity Name:
INSIGHT HOLDINGS, LLC
Entity Number:
LLC831-1998
Entity Type:
Domestic Limited-Liability Company (86)
Entity Status:
Active
Formation Date:
02/18/1998
NV Business ID:
NV19981008798
Termination Date:
2/18/2498
Annual Report Due Date:
2/28/2022
Series LLC:
Restricted LLC:
REGISTERED AGENT INFORMATION
Name of Individual or Legal Entity:
INSIGHT HOLDINGS
Status:
Active
CRA Agent Entity Type:
CRA- Limited-Liability Corporation
Registered Agent Type:
Commercial Registered Agent
NV Business ID:
Office or Position:
Jurisdiction:
NEVADA
Street Address:
3005 West Horizon Ridge Pkwy, 141, Henderson, NV, 89052, USA
Mailing Address:
Individual with Authority to Act:
JACKIE PETERSON
Fictitious Website or Domain Name:
OFFICER INFORMATION
G VIEW HISTORICAL DATA
Last
Title Name Address Updated Status
Manager James 3005 West Horizon Ridge Pkwy, 141, Las Vegas, NV, 89052, 02/03/2020 Active
Zeiter USA
Page 1 of 1,records 1 to 1 of 1
Filing History Name History Mergers/Conversions