Secretary of State Office                         
500 E Capitol Ave         APPLICATION FOR RENEWAL OF 
Pierre, SD 57501 
(605)773-4845                   REGISTERED NAME 
corpinfo@state.sd.us           FOREIGN LIMITED  IABILITY L OMPANYC
                                           SDCL 47-34A-107 

                                FILING FEE: $15
                               Make check payable to SECRETARY OF STATE

RENEWAL DATE:   A renewal application may be filed between the first day of October and the thirty-first day of 
                     December 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,          , and submits the following statements: 

1.The name of the company:

2.The name of the state or other jurisdiction under whose laws it is organized:  ________________________________

3.The date of its organization:

4.It is carrying on or doing business. The business in which it is engaged:

5.This application is accompanied by an original Certificate of Existence executed by the Secretary of
State or other official having custody of the organizational records in the state or other jurisdiction under whose
law it is organized.

No person may execute this report knowing it is false in any material respect.  Any violation may be subject to a criminal 
penalty (SDCL 22-39-36). 

Dated 
                                                     Signature of an authorized person 

Email 
      (Optional)                                     Printed Name 

                                                     Title 

                                                                           Foreignllcnameregistrationrenewal  Feb 2018