Application For Registration Of Name (Foreign Limited Liability Company)

Foreignllcnameregistration Secretary of State Office 500 E Capitol Ave Pierre, SD 57501 (605)773-4845 Pursuant to the provisions of South Dakota law, the undersigned Limited Liability Company hereby applies for the registration of its name to and including December 31, , and submits the following: 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.The business in which it is engaged: 5.This application is accompanied by an original Certificate of Existence executed by the Secretary ofState or other official having custody of the organizational records in the state or other jurisdiction under whoselaw it is organized. 6.This application does not qualify the LLC to conduct business in South Dakota. The registration is effective until the close of the calendar year in which the application for registration is filed. 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. 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 APPLICATION FOR REGISTRATION OF NAME FOREIGN LIMITED LIABILITY COMPANY SDCL 47-34A-107, 1005 FILING FEE: $25 ayable to SECRETARY OF STATE American LegalNet, Inc. www.FormsWorkFlow.com