STATEMENT OF QUALIFICATION
Secretary of State Office
500 E Capitol Ave
OF A FOREIGN
Pierre, SD 57501
(605)773-4845
Clear Form
LIMITED LIABILITY PARTNERSHIP
Please Type or Print Clearly in Ink
HELP
Original
Photocopy
Please submit one
and one
FILING FEE: $125
SECRETARY OF STATE
payable to
Telephone # ____________________
FAX #
_______________________
1. The name of the limited liability partnership is __________________________________________________________
______________________________________________________________________________________________
The name shall contain the words “Registered Limited Liability Partnership”, or “Limited Liability Partnership”, or “R.L.L.P.” or “L.L.P.”, or “RLLP”, or
“LLP” as the last words of the name.
2. The partnership is a registered limited liability partnership organized under the laws of the state of
____________________________________________
3. The street address of its chief executive office
______________________________________________________________________________________________
Street Address
City
State
ZIP+4
______________________________________________________________________________________________
Mailing Address (Optional)
City
State
ZIP+4
4. The South Dakota Registered Agent name ____________________________________________________________
______________________________________________________________________________________________
Street Address or Rural Route Box Number in This State and
City
State
ZIP+4
______________________________________________________________________________________________
Mailing Address in This State, if Different from Street 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.
_______________________________
5. The deferred effective date of the registration if it is not to be effective upon filing of the registration
____________________________________________