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Qualification For Farming - South Dakota

Qualification For Farming Form. This is a South Dakota form and can be used in Domestic Limited Liability Company Corporation Secretary Of State .
 Fillable pdf Last Modified 12/20/2012
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Secretary of State Office 500 E Capitol Ave Pierre, SD 57501 (605)773-4845 corpinfo@state.sd.us QUALIFICATION FOR FARMING DOMESTIC LIMITED LIABILITY COMPANY SDCL 47-9A Please Type or Print Clearly in Ink NO FILING FEE Telephone # ________________ 1. The Name and Business ID of the company is: Name (Note: This must be the exact limited liability company name as registered.) Business ID 2. The state of organization: South Dakota 3. The South Dakota Registered Agent'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 from the Commercial Registered Agent. Name CRA# (c) Title of the office or other position with the company Business Office's Actual Street Address in this State City State ZIP+4 Mailing Address in this State, if Different from Street Address Email Address (Optional) City State ZIP+4 4. List the acreage and location by section, township and county of each lot or parcel of land in this state owned or leased by the Limited Liability Company and used for the growing of crops or the keeping or feeding of poultry or livestock (You may add additional pages if necessary). Acres Section Township County Acres Section Township County Acres Section Township County Acres Section Page 1 of 2 Township County American LegalNet, Inc. www.FormsWorkFlow.com 5. Is the majority of the voting stock held by members of a family, an estate of a family member, or a trust that benefits members of the family? Yes No 6. Is at least one of the stockholders: (a) a person residing on the farm? (b) a person actively operating the farm? (c) a person who has resided on the farm? (d) a person who has actively operated the farm? Yes Yes Yes Yes No No No No 7. State the number of shares owned by persons residing on the farm or actively engaged in farming or their relatives within the third degree of kindred (You may add additional pages if necessary). Name Name Name Name Name Address Address Address Address Address City City City City City State State State State State Zip Zip Zip Zip Zip Shares Shares Shares Shares Shares DOK DOK DOK DOK DOK 8. Are all the shareholders either natural persons, estates of a family member, or a trust that benefits members of the family? Yes No 9. The percentage of gross receipts of the Limited Liability Company derived from rent, royalties, dividends, interest, and annuities: _____% 10. State the number of shareholders. _____ 11. Is there more than one class of stock? Yes No 12. As to each shareholder state the name, address, number of shares owned, and degree of kindred (DOK). Name Name Name Address Address Address City City City State State State Zip Zip Zip Shares Shares Shares DOK DOK DOK No person may execute this report knowing it is false in any material respect. Any violation may be subject to a criminal penalty (SDCL 22-39-36). Dated Signature of an authorized person Email (Optional) Printed Name Page 2 of 2 domesticllcfarmqualification June 2016 American LegalNet, Inc. www.FormsWorkFlow.com
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