Annual Report (Foreign LLC)

Page 1 of 2 Secretary of State Office 500 E Capitol Ave Pierre, SD 57501 (605)773-4845 corpinfo@state.sd.us Enter Filing Year 1.Business ID and Name: Business ID Business Name 2.The jurisdiction under whose law it is formed 3.The address of the principal executive office (business address). 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 Agent222s name: South Dakota law permits the registered agent to be either: A) noncommercial registered agent (this may be anindividual) or B) a commercial registered agent. Complete only one below, either (a) or (b). (a)The South Dakota Noncommercial Registered Agent222s 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 theCommercial Registered Agent. Commercial Registered Agent Name CRA# ANNUAL REPORT FOREIGN LIMITED LIABILITY COMPANY SDCL 47-34A-211; 59-11-24, 24.1 FILING FEE: $ American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 2 Annualreportforeignllc 5.If the LLC is manager-managed, list the names and managed, this section may be left blank. Manager/Governor Actual Street Address City State ZIP+4 Manager/Governor Actual Street Address City State ZIP+4 Manager/Governor Actual Street Address City State ZIP+4 6.Beneficial Interest (optional) Owner Description of Ownership Percentage/Value Owner Description of Ownership Percentage/Value 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 American LegalNet, Inc. www.FormsWorkFlow.com