Secreta
ry of State Office
500 E Capitol Ave
Pierre, SD 57501
(605)773-4845
corpinfo@state.sd.us
1. The Name of the corporation:
2. The name of the state or other jurisdiction under whose laws it is incorporated:
3. The date of incorporation:
4. The period
of duration of corporation:
5. The address of its principal office (this is the address of the office of the corporation in the state or country under whose
laws it is incorporated):
Street Address
City State
ZIP+4
Mailing Address if different from street address
City State
ZIP+4
Email Address (Optional)
6.
The South Dakota Registered Agent’s name:
South Dakota law permits the registered agent to be either: A) 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 from the
Commercial Registered Agent.
Commercial Registered Agent Name CRA#
(c) Title of the office or other position with the business:
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)
Page 1
of 2
NON-STOCK APPLICATION FOR
CERTIFICATE OF AUTHORITY
FOREIGN NONPROFIT CORPORATION
SDCL 47-27-1
FILING FEE: $125
Make check payable to SECRETARY OF STATE
Application must be accompanied by a one page Original Certificate of Existence issued by the Secretary of State
or other official having cust
ody of the corporate records in the state or other jurisdiction under whose law it is incorporated.
Page 2 of 2
Foreignnonprofitcertificateofauthority Feb 2018
7. The purpose(s) that the corporation is engaging in business in South Dakota:
8. The names and usual business addresses of its principal officers and directors. Place a check mark next to 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 an Original Certificate of Existence or a document
of similar import, 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 report knowing it is false in any material respect. Any violation may be subject to a civil and/or
criminal penalty (SDCL 22-39-36).
Dated
Signature of an authorized person
Email
(Optional) Printed Name
Title
click to sign
signature
click to edit