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Secretary of State Office
500 E Capitol Ave
Pierre, SD 57501
(605)773-4845
corpinfo@state.sd.us
At le
ast ten days prior to the sale, transfer, conversion, or merger of at least thirty percent of the assets of a nonprofit
corporation, the corporation shall give written notice to the Attorney General AND
the following information shall be
submitted to the Secretary of State within sixty days of such sale, transfer, conversion or merger.
1. The Nam
e and Business ID of the corporation is:
Name (Note: This must be the exact corporate name as registered.) Business ID
2. The name and address of the parties involved in the sale, transfer, conversion or merger (You may add additional
pages if necessary):
Name of party:
Actual Street Address City State ZIP+4
Mailing Address in this State, if Different from Street Address City State ZIP+4
Name of party:
Actual Street Address City State ZIP+4
Mailing Address in this State, if Different from Street Address City State ZIP+4
3. Term
s and conditions of the sale, transfer, conversion or merger:
NOTICE OF SALE, TRANSFER,
CONVERSION or MERGER
DOMESTIC NONPROFIT
CORPORATION
SDCL 47-24-17
FILING FEE: $15
Make check payable to
SECRETARY OF STATE
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nonprofitsaletransferconversionmerger Feb 2018
4. The dollar value of the assets being sold, transferred, converted or merged, including an account of how the
value was determined.
5. An explanation of how the sale, transfer, conversion or merger furthers the purpose of the nonprofit corporation.
The appli
cation must be signed by an authorized officer of the corporation.
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
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