Secretary of State Office 500 E Capitol Ave Pierre, SD 57501 (605)773-4845
CANCELLATION OF CERTIFICATE OF AUTHORITY OF A
FOREIGN LIMITED LIABILITY COMPANY
Please Type or Print Clearly in Ink
Clear Form
HELP
Please submit one Original and one Photocopy
FILING FEE: $10 payable to SECRETARY OF STATE
Telephone # ____________________ FAX # _______________________
The undersigned, on behalf of the limited liability company named below, hereby cancels the certificate of authority pursuant to SDCL 47-34A-1007.
1. The name of the company is ______________________________________________________________________ ______________________________________________________________________________________________
Note: This must be the exact limited liability company name.
2. The state of its formation is ________________________________________________________________________
3. State the reason for filing this Certificate of Cancellation.
The cancellation must be signed by a member if the LLC is member-managed or by a manager if the LLC is managermanaged.
Dated ____________________________
______________________________________________
(Signature of an Authorized Manager or Member)
______________________________________________
(Printed Name)
______________________________________________
(Title)
foreignllccancellation July 2008