PDF document
- 1 -

Enlarge image
Secretary of State Office 
                                                 APPLICATION FOR 
500 E Capitol Ave 
Pierre, SD 57501                    CERTIFICATE OF AUTHORITY
(605)773-4845                       FOREIGN LIMITED  IABILITY L                  OMPANYC   
corpinfo@state.sd.us                                            SDCL 47-34A-1002 

                                                 FILING FEE: $765 
                                                 Make check payable to SECRETARY OF STATE 

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 organizational records in the state or other jurisdiction under whose law it is organized. 

1. The name of the company:

2. If the name indicated above does not include Limited Liability Company, Limited Company or the abbreviation L.L.C.,
LLC, L.C. or LC. (Limited may be abbreviated as Ltd. and company may be abbreviated as Co.), then what is the
alternative name adopted:

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

4. The address of its principal office (this is the address of the executive offices of the company):

Street Address                                                          City               State     ZIP+4 

Mailing Address if different from street address                        City               State     ZIP+4 

Email Address (Optional) 

5. If the jurisdiction under which the company is formed requires the company to maintain an office in that jurisdiction then
provide for that office:

Street Address                                                          City               State     ZIP+4 

Mailing Address if different from street address                        City               State     ZIP+4 

6. The South Dakota Registered Agent’s name:
South Dakota law permits the registered agent to be either: A) noncommercial registered agent (this may be an
individual) or B) a commercial registered agent.  Complete only one below, either (a) or (b).

(a) The South Dakota Noncommercial Registered Agent’s name

Actual Street Address in this State                                     City               State     ZIP+4 

Mailing Address in this State, if Different from Street Address         City               State     ZIP+4 

Email Address (Optional) 

                                                                Page  1 of  2



- 2 -

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

Commercial Registered Agent Name                                            CRA# 

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 

                                  Page  2 of  2
                                                       Foreigncertificateofauthority Feb 2018 






PDF file checksum: 1343641054

(Plugin #1/8.13/12.0)