APPLICATION FOR RENEWAL
Secretary of State Office
500 E Capitol Ave
OF REGISTERED NAME
Pierre, SD 57501
Clear Form
(605)773-4845
FOREIGN LIMITED LIABILITY COMPANY
Please Type or Print Clearly in Ink
HELP
Original
Photocopy
Please submit one
and one
FILING FEE: $15
SECRETARY OF STATE
payable to
Telephone # ____________________
FAX #
_______________________
A renewal application may be filed between the first day of October and the thirty-first day of
RENEWAL DATE:
December in each year, and shall extend the registration for the following calendar year.
Pursuant to the provisions of South Dakota law, the undersigned Limited Liability Company hereby applies for the renewal
of the registration of its name to and including December 31, 20_______ , and submits the following statements:
1. The name of the company is _______________________________________________________________________
______________________________________________________________________________________________
2. It is organized under the law of ____________________________________
3. The date of its organization is _____________________________________
4. It is carrying on or doing business. The business in which it is engaged is
5. This
is accompanied by an original
executed by the
application
Certificate of Existence
Secretary of
in the state of organization.
State
Dated ____________________________
______________________________________________
(Signature of an authorized member or manager)
______________________________________________
(Printed Name)
______________________________________________
(Title)
llcregistrationrenewal April 2012