Application For Reservation Of Name

Reservationofname Secretary of State Office 500 E Capitol Ave Pierre, SD 57501 (605)773-4845 Pursuant to the provisions of the South Dakota Law, the undersigned hereby applies for reservation of the following name for a period of one hundred twenty (120) days. The same applicant may not again reserve the same name until more than sixty days after the expiration date. 1.Name of Applicant: 2.The address of the principal office: Actual Street Address City State ZIP+4 Mailing Address in this State, if Different from Street Address City State ZIP+4 3.The name to be reserved is: Note: The name must include the term corporation, incorporated, company, limited or the applicable abbreviation. No person may execute this report knowing it is false in any material respect. Any violation may be subject to a civil and/or criminal penalty (SDCL 47-1A-129; 22-39-36). Dated Signature of an authorized person Email (Optional) Printed Name Title Address City State Zip APPLICATION FOR RESERVATION OF NAME BUSINESS CORPORATION SDCL 47-1A-402 FILING FEE: $25 to SECRETARY OF STATE American LegalNet, Inc. www.FormsWorkFlow.com