Fill and Sign the Filing Fee 765 Form

Page 1 of 2 Secretary of State Office 500 E Capitol Ave Pierre, SD 57501 (605)773 -4845 corpinfo@state.sd.us Application must be accompanied by a one page O riginal Certificate of Existence issued by the Secretary of State or other official having custody of the corporate records in the state or other jurisdiction under whose law it is incorporated . 1. The Name of the C orporation: Note: The name must include the term corporation, incorporated, company, limited or the applicabl e abbreviation (SDCL 47 -1A -401 to 47 -1A -401.3 ) 2. If the name is unavailable for use in this state, a corporate name that satisfies the requirements of §§ 47 -1A -1506 t o 47- 1A -1506.4 , inclusive : 3.The name of the state or other jurisdiction under whose laws it is incorporated: 4.The date of incorporation: 5.The period of duration of incorporation: 6.The address of its principal office (this is the address of the executive offices of the company): Street Address City State ZIP+4 Mailing Address if different from street address City State ZIP+4 Email Address (Optional) 7. The South D akota Reg istered Ag ent’s name: South Dakota law permits the registered agent to be either: 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 f rom the Commercial Registered Agent. Commercial Registered Agent Name CRA# APPLICATION FOR CERTIFICATE OF AUTHORITY F OREIGN B USIN ESS CORPORATION SDCL 47 -1A-1 501, 1503 FILING FEE: $7 65 Make check p ayable to SECRETARY OF STATE Page 2 of 2 Foreigncertificateofauthority Feb 2018 (c) Title of the office or other position with the Corporation 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) 8. The names and usual business addresses of its principal officers and directors. Place a check mark next t o the name if the principal officer serves as a director. ____________ President Street Address City State ZIP+4 ____________ Vice President Street Address City State ZIP+4 ____________ Secretary Street Address City State ZIP+4 ____________ Treasurer Street Address City State ZIP+4 ____________ Director Street Address City State ZIP+4 ____________ Director Street Address City State ZIP+4 ____________ Director Street Address City State ZIP+4 9. The foreign corporation shall deliver with the completed application a n Original Certificate of Existence or a document of similar imp ort, duly authenticated by the Secretary of State or other official having custody of corporate records in the state or other jurisdiction under whose law it is incorporated. No person may execute this re port k nowing it is false in any ma terial resp ect. Any violation may be sub ject to a civil and/or criminal penalt y (SDCL 47-1A -129; 22 -39 -36) . Dated Signature of an authorized person Email (Optional) Printed Name Title Page 1 of 2 Secretary of State Office 500 E Capitol Ave Pierre, SD 57501 (605)773 -4845 corpinfo@state.sd.us Application must be accompanied by a one page O riginal Certificate of Existence issued by the Secretary of State or other official having custody of the organizational records in the state or other jurisdiction under whose law it is organized. 1. The name of the company : 2.If the name indicated above does not include Limited Liability Company , L imited Company or the abbreviation L.L.C., LLC, L.C. or LC. (Limited may be abbreviated as Ltd. and company may be abbreviated as Co. ), then what is the alternative name adopted: 3. The name of the state or other jurisdiction under whose laws it is organized: 4. The address of its principal office (this is the address of the executive offi ces of the company): Street Address City State ZIP+4 Mailing Address if different from street address City State ZIP+4 Email Address (Optional) 5. If the jurisdiction under which the company is formed requires the company to maintain an office in that jurisdiction then provide for that office: Street Address City State ZIP+4 Mailing Address if different from street address City State ZIP+4 6. The South D akota Reg istered Ag ent’s name: South Dakota law permits the registered agent to be either: A) noncommercial registered agent (this may be an individual) or B) a commercial registered agent . Complete only one below, either (a) or (b ). (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) APPLICATION FOR CERTIFICATE OF AUTHORITY F OREIGN L IMITED L IABILITY C OMPANY SDCL 47 -34A -1002 FILING FEE: $7 65 Make check p ayable to SECRETARY OF STATE Page 2 of 2 Foreigncertificateofauthority Feb 2018 (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# No person may execute this report knowing it is false in any material respec t. Any violation may be subject to a criminal penalty (SDCL 22 -39 -36). Dated Signature of an authorized person Email (Optional) Printed Name Title