Secretary of State Office 
500 E Capitol Ave         STATEMENT OF QUALIFICATION 
Pierre, SD 57501          DOMESTIC LIMITED  IABILITY L                       ARTNERSHIPP  
                                                      SDCL 48-7A-1001 
(605)773-4845
corpinfo@state.sd.us
                                                  FILING FEE: $125 
                                    Make check payable to SECRETARY OF STATE

1. The name of the Limited Liability Partnership:

 _____________________________________________________________________________________________________________________
Note: 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 (SDCL 48-7A-1002)

2. The street address of the partnership’s chief executive office in South Dakota, or, if the partnership’s chief executive
office is not physically located in South Dakota then state the street address of an office in this state, if any.

Actual Street Address                                                       City          State ZIP+4 

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

Email Address (Optional) 

IF ADDRESS LISTED IN #2 IS NOT A SOUTH DAKOTA ADDRESS, QUESTION #3 IS REQUIRED. 

3. 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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4. The partnership elects to be a limited liability partnership.

6.If the registration is not to be effective upon filing, the deferred effective date shall be:

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). 

This statement must be executed by at least two partners (SDCL 48-7A-105(c)) 

Dated 
                                                                Signature of an authorized person 

Email 
      (Optional)                                                Printed Name 

Dated 
                                                                Signature of an authorized person 

Email 
      (Optional)                                                Printed Name 

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                                                                             domesticllpstatementqualification  Feb 2018