South Dakota > Secretary Of State > Corporation > Cooperative > Foreign
Annual Report - South Dakota
| Annual Report Form. This is a South Dakota form and can be used in Foreign Cooperative Corporation Secretary Of State . |
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Enter Filing Year Secretary of State Office 500 E Capitol Ave Pierre, SD 57501 (605)773-4845 FILING FOREIGN COOPERATIVE Please Type or Print Clearly in Ink ANNUAL REPORT FILE DATE ____________________ RECEIPT NO ___________________ FEE: $50 Make check payable to SECRETARY OF STATE 1. Corporate ,' DQG 1DPH Telephone # ____________________ 2. The jurisdiction under whose law it is formed ___________________________________________________________ 3. The address of the SULQFLSDO H[HFXWLYH RIILFH EXVLQHVV DGGUHVV ______________________________________________________________________________________________ Street Address City State ZIP+4 ______________________________________________________________________________________________ Mailing Address City State ZIP+4 ______________________________________________________________________________________________________________________ Email Address 4. The name of the South Dakota Registered Agent _______________________________________________________ ______________________________________________________________________________________________ Street Address or Rural Route Box Number in This State and City State ZIP+4 ______________________________________________________________________________________________ Mailing Address in This State, if Different from Street Address City State ZIP+4 ______________________________________________________________________________________________________________________ Email Address 5. The names and addresses of its principal officers and directors. Please 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 _____________________________________________________________________________________________ General Manager Street Address City State ZIP+4 No person may execute this report knowing it is false in any material respect. Any violation is subject to a civil penalty. Dated ____________________________ ________ Email _____________________________________ ______________________________________________ (Signature of an Authorized Person) ______________________________________________ (Printed Name) DQQXDOUHSRUWIRUHLJQFRRS )HEUXDU\ American LegalNet, Inc. www.FormsWorkFlow.com %\ VLJQLQJ WKLV IRUP \RX DJUHH WR KDYH ERWK WKH IHH DQG WKH IRUP SURFHVVHG HOHFWURQLFDOO\ $ IHH RI XS WR ZLOO EH DVVHVVHG IRU UHWXUQHG SD\PHQWV
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