Affidavit of Legal Interest V1CUEIDR IAy
APPROVED
DATE: 05/25/22
FILE NUMBER: —D -DWI
STATE OF-10A110 )
N-ek ado )
COUNTY OF A DA )
60 t'K
AFFIDAVIT OF LEGAL INTEREST
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:
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.
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 Seise --C n fir- , 20
It
(Signature)
SUBSCRIBED AND SWORN to before me the day and year first above written.
_Rk C*A lc�
(Notary Public for
00".
PATRICIA PENA Nevaallotary Public, Slate of Nevada Residing at: aq2 V tot sk6koA0 Sy I�•4X1 trSor1No.21-4623-01
MyAppt. Exp. June 16, 2025 My Commission Expires: Otp I (p 11025
(Rev 05/29/20)
`(E IDI� IA\ BARBARA K. CEGAVSKE
�� Secretary of State
APPROVED 202 North Carson Street
Carson City, Nevada 89701-4201
DATE: 05/25/22 (775) 684-5708
FILE NUMBER:-zozvooni Website: www.nvsos.gov
www.nvsilverflume.gov
Annual or Amended List
and State Business
License Application
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
❑ This corporation is publicly traded, the Central Index Key number is:
❑ Nonprofit Corporation (see nonprofit sections below)
Q Limited -Liability Company
❑ Limited Partnership
❑ Limited -Liability Partnership
Filed in the Office of
Business Number
t8t� _
E081657I006-3
Filing Number
20201080584
Secretary of State
State Of Nevada
Filed On
12/03/2020 11:38:16 AM
Number of Pages
z
❑ Limited -Liability Limited Partnership
❑ Business Trust
❑ Corporation Sole
Additional Officers, Managers, Members, General Partners, Manaqinq Partners, Trustees or Subscribers, may be listed on a suDDlemental Daoe.
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
IDS IAy,-
APPROVED
DATE: 05/25/22
FILE NUMBER: -oz--
BARBARA K. CEGAVSKE
Secretary of State
202 North Carson Street
Carson City, Nevada 89701-4201
(775) 684-5708
Website: www.nvsos.gov
www.nvsilverflume.gov
Annual or Amended List
and State Business License
Application - Continued
Officers, Managers, Members, General Partners, Managing Partners, Trustees or Subscribers:
CORPORATION, INDICATE THE MANAGER:
RYNE C STOKER SEPARATE PROPERTY TRUST
Name
16385 ESCONDIDO ]
Address
CORPORATION, INDICATE THE MANAGER:
] USA
Country
LAS VEGAS —� NV 89119
City State Zip/Postal Code
INSIGHT ADMINISTRATIVE SERVICES LLC USA
Name _ Country
3005 West Horizon Ridge Pkwy. Ste.141 I 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.
is Jackie Peterson
Manager
Signature of Officer, Manager, Managing Member, Title
General Partner, Managing Partner, Trustee,
Subscriber, Member, Owner of Business,
Partner or Authorized Signer FORM WILL BE RETURNED IF
UNSIGNED
] 12/03/20 !0
Date
page 2 of 2
j (E IDI� IA\ - BARBARA K. CEGAVSKE
�� Secretary of State
APPROVED 202 North Carson Street
Carson City, Nevada 89701-4201
DATE: 05/25/22 (775) 684-5708
FILE NUMBER:-zozvooni Website: www.nvsos.gov
www.nvsilverflume.gov
Annual or Amended List
and State Business
License Application
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
❑ This corporation is publicly traded, the Central Index Key number is:
❑ Nonprofit Corporation (see nonprofit sections below)
k Limited -Liability Company
❑ Limited Partnership
❑ Limited -Liability Partnership
❑ Limited -Liability Limited Partnership
❑ Business Trust
❑ Corporation Sole
Filed in the Office of
Business Number
L 6-2
Filingling Number
20211661199
Secretary of State
State Of Nevada
Filed On
08/05/2021 08:52:23 AM
Number of Pages
2
Additional Officers, Managers, Members, General Partners, Manaqinq Partners, Trustees or Subscribers, may be listed on a suoolemental Daae.
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
`(E IDI� IA\ BARBARA K. CEGAVSKE
Secretary of State
APPROVED 202 North Carson Street
05/25/22 Carson City, Nevada 89701-4201
DATE: (775) 684-5708
FILE NUMBER:-zozvooni Website: www.nvsos.gov
www.nvsilverflume.gov
Annual or Amended List
and State Business License
Application - Continued
Officers, Managers, Members, General Partners, Managing Partners, Trustees or Subscribers:
CORPORATION, INDICATE THE MANAGER:
INSIGHT HOLDINGS, LLC
Name
3005 W. Horizon Ridge Pkwy Ste 141
Address
USA
Country
Henderson NV 89052
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
Signature of Officer, Manager, Managing Member, Title
General Partner, Managing Partner, Trustee,
Subscriber, Member, Owner of Business,
Partner or Authorized Signer FORM WILL BE RETURNED IF
UNSIGNED
08/05/2021
Date
page 2 of 2
j (E IDI� IA\ BARBARA K. CEGAVSKE
�� Secretary of State
APPROVED 202 North Carson Street
Carson City, Nevada 89701-4201
DATE: 05/25/22 (775) 684-5708
FILE NUMBER: "-znz,-ape, Website: www.nvsos.gov
www.nvsilverflume.gov
Annual or Amended List
and State Business
License Application
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
❑ This corporation is publicly traded, the Central Index Key number is:
Nonprofit Corporation (see nonprofit sections below)
R Limited -Liability Company
Limited Partnership
Limited -Liability Partnership
Filed in the Office of
Business Number
Filing Number
20211245456
Secretary of State
State Of Nevada
Filed On
02/18/2021 16:13:53 PM
Number of Pages
z
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
IDS IAy-
� Jt
ARBARA K. CEGAVSKE
ecretary of State
APPROVED 2 NorthCarson Street
oalzalz2 arson City, Nevada 89701-4201
DATE: 75) 684-5708
FILE NUMBER:-zozvooniebsite: www.nvsos.gov
www.nvsilverflume.gov
Annual or Amended List
and State Business License
Application - Continued
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
Signature of Officer, Manager, Managing Member,
General Partner, Managing Partner, Trustee,
Subscriber, Member, Owner of Business,
Partner or Authorized Signer FORM WILL BE RETURNED IF
UNSIGNED
Manager
Title
02/18/2021
Date
page 2 of 2