Application For Registration Of Name Foreign Limited Liability Company Form - Secretary Of State, State Of South Dakota

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APPLICATION FOR
Secretary of State Office
500 E Capitol Ave
REGISTRATION OF NAME
Pierre, SD 57501
(605)773-4845
Clear Form
FOREIGN LIMITED LIABILITY COMPANY
Please Type or Print Clearly in Ink
HELP
Original
Photocopy
Please submit one
and one
FILING FEE: $25
SECRETARY OF STATE
payable to
Telephone # ____________________
FAX #
_______________________
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
accompanied
Certificate of Existence
Secretary of
5. This application is
by an original
executed by the
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

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