ANNUAL REPORT 
Enter Filing Year 
Secretary of State Office DOMESTIC LIMITED  IABILITY L                 ARTNERSHIPP  
                                    SDCL 48-7A-1003; 59-11-6; 59-11-24.1 
500 E Capitol Ave  
Pierre, SD  57501 
(605) 773-4845                                        FILING FEE: $65  
corpinfo@state.sd.us
                                    Additional Fee for Delinquent Reports: $50

1. Business ID and Name:

    Business ID  

    Business Name
2. The jurisdiction under whose law it is formed:               South Dakota 

3. The address of the principal or chief executive office, wherever located.

Actual Street Address                                                      City     State ZIP+4 

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

Email Address (Optional) 

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

(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) 

(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# 

(c) Title of the office or other position with the business:
                                                                                           ____________  
Business Office’s 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)  

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5. The names and business addresses of the partners.

Partner                          Address                                City                 State ZIP+4 

Partner                          Address                                City                 State ZIP+4 

Partner                          Address                                City                 State ZIP+4 

6. Beneficial Interest (optional) - A beneficial owner is a person who has or in some manner controls an equity security.
Please consult an attorney for legal advice if you have any questions concerning this entry. Any question under this
heading is considered a request for legal advice and the Secretary of State’s office is, by statute, not permitted, to
provide legal advice.

Owner                            Address                                City                 State ZIP+4 

Owner                            Address                                City                 State ZIP+4 

Owner                            Address                                City                 State ZIP+4 

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 

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                                                                                              Annualreportdomesticllp  Feb 2018