Free certificate of authority corporations - South Dakota

Secretary of State Office 500 E Capitol Ave Pierre, SD 57501 (605)773-4845

APPLICATION FOR CERTIFICATE OF AUTHORITY
FOREIGN COOPERATIVE
Please Type or Print Clearly in Ink

Clear Form
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Please submit one Original and one Photocopy

FILING FEE: $750 payable to SECRETARY OF STATE
Telephone # ____________________ FAX # _______________________

Application must be accompanied by a one page original certificate of existence issued by the Secretary of State or other official having custody of the corporate records in the state or country under whose law it is incorporated. 1. The name of the cooperative is _____________________________________________________________________ ______________________________________________________________________________________________
Note: This must be the exact cooperative name.

2. State where incorporated __________________________________ 3. Date of its incorporation is __________________________________ 4. The period of its duration ___________________________________ 5. The address of its principal office in the state where incorporated ______________________________________________________________________________________________
Street Address City State ZIP+4

______________________________________________________________________________________________
Mailing Address (Optional) City State ZIP+4

6. The South Dakota Registered Agent name ____________________________________________________________ ______________________________________________________________________________________________
Street Address (Required to be a South Dakota Address) City State ZIP+4

______________________________________________________________________________________________
Mailing Address (Optional ­ Required to be a South Dakota Address) City State ZIP+4

When listing a Commercial Registered Agent, please state their CRA #. This number can be obtained from the Commercial Registered Agent.

_______________________________

7. The purposes which it proposes to pursue in the State of South Dakota

8. The names and usual business addresses of its current directors and officers. Please place a check mark next to the name if the principal officer serves as a director. _____________________________________________________________________________________________
President Street Address City State ZIP+4

_____________________________________________________________________________________________
Vice President Street Address City State ZIP+4

_____________________________________________________________________________________________
Secretary Street Address City State ZIP+4

_____________________________________________________________________________________________
Treasurer Street Address City State ZIP+4

_____________________________________________________________________________________________
Director Street Address City State ZIP+4

_____________________________________________________________________________________________
Director Street Address City State ZIP+4

_____________________________________________________________________________________________
Director Street Address City State ZIP+4

9. The aggregate number of members and class of those members, if any: Number of Members _______________________ _______________________ _______________________ Class ________________________________ ________________________________ ________________________________

10. The aggregate number of shares which it has authority to issue, itemized by classes, par value of shares, shares without par value, and series, if any, within a class. Number of Shares _____________ _____________ _____________ Class ____________ ____________ ____________ Series _________________ _________________ _________________ Par value per share or statement that shares are without par value _________________________________________ _________________________________________ _________________________________________

11. The aggregate number of issued shares which it has authority to issue, itemized by classes, par value of shares, shares without par value, and series, if any, within a class is: Number of Shares _____________ _____________ _____________ Class ____________ ____________ ____________ Series _________________ _________________ _________________ Par value per share or statement that shares are without par value _________________________________________ _________________________________________ _________________________________________

The application must be signed by an authorized officer of the cooperative in front of a notary public.

Dated ____________________________

______________________________________________
(Signature of an authorized officer)

______________________________________________
(Printed Name)

______________________________________________
(Title)

STATE OF _____________________________ COUNTY OF ___________________________ On this the ___________ day of _________________________, 20 ____ before me personally appeared ____________________________________________________________ known to me or satisfactorily proven to be the person who is described in, and who executed the within instrument and acknowledged to me that she/he/they executed the same. __________________________________ My Commission Expires ______________________________________________ Notary Public

Notarial Seal

Foreigncoopcertificateof authority July 2009