Secretary of State Office 500 E Capitol Ave Pierre, SD 57501 (605)773-4845
APPLICATION FOR REGISTRATION OF NAME
FOREIGN LIMITED LIABILITY COMPANY
Please Type or Print Clearly in Ink
Clear Form
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Telephone # ____________________ FAX # _______________________
Please submit one Original and one Photocopy
FILING FEE: $25 payable to SECRETARY OF STATE
Pursuant to the provisions of South Dakota law, the undersigned Limited Liability Company hereby applies for the registration of its name to and including December 31, _____, and submits the following statements:
1. The name of the company is ______________________________________________________________________ ______________________________________________________________________________________________ 2. The name of the state or country under whose laws it is organized is _______________________________________ 3. The date of its organization is _______________________________ 4. The business in which it is engaged is
5. This application is accompanied by an original Certificate of Existence executed by the Secretary of State in the state of organization. 6. This application does not qualify the LLC to conduct business in South Dakota. The registration is effective until the close of the calendar year in which the application for registration is filed. A renewal application may be filed between the first day of October and the thirty-first day of December in each year, and shall extend the registration for the following calendar year.
Dated ____________________________
______________________________________________
(Signature of an authorized member or manager)
______________________________________________
(Printed Name)
______________________________________________
(Title) llcRegistration July 2009