StatementofChange Feb 2018
Secretary of State Office
500 E Capitol Ave
Pierre, SD 57501
(605)773-4845
corpinfo@state.sd.us
1. Business ID and Name:
Enter Business ID
Enter Business Name
2. The name and address of the registered agent on file (Old Agent Name
):
Actual Street Address or Rural Route Box Number City State ZIP+4
Mailing Address, if Different from Street Address City State ZIP+4
3.
The NEW 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)
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.
Dated
Signature of an authorized officer
Email
(Optional) Printed Name
Title
STATEMENT OF CHANGE
OF REGISTERED OFFICE OR
REGISTERED AGENT OR BOTH
SDCL 59-11-11
FILING FEE: $25
Make check payable to SECRETARY OF STATE
click to sign
signature
click to edit
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