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Fill and Sign the Return to South Dakota Secretary of State Form

Fill and Sign the Return to South Dakota Secretary of State Form

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Reservationofcorporatename Feb 2018Secretary o f State Office 500 E C apitol Ave Pierre, SD 57501 (605)773-4 845 corpinfo@state.sd.usPursuan t 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 addres s 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 re port k nowin g it is false in any mat erial respect. Any violation may be sub ject to a civil and/or criminal penalt y (SDCL 47 -1A -129; 22- 39-36). Dated Signatur e of an authorized person Email (Optional) Pri nted Name Title Address City Sta te Zip APPLICATION FOR RESERVATION OF NAME BUSINESS CORPORATION SDCL 47-1 A-402 FILING FEE: $2 5 Make check payable to SECRETARY OF STATE

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