South Dakota > Secretary Of State > Corporation > Cooperative > Foreign
Application For Certificate Of Authority - South Dakota
| Application For Certificate Of Authority Form. This is a South Dakota form and can be used in Foreign Cooperative Corporation Secretary Of State . |
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Secretary of State Office 500 E Capitol Ave Pierre, SD 57501 (605)773-4845 APPLICATION FOR CERTIFICATE OF AUTHORITY FOREIGN COOPERATIVE Please Type or Print Clearly in Ink Please submit one Original and one Photocopy FILING FEE: $750 payable to SECRETARY OF STATE Telephone # ____________________ FAX # _______________________ Application must be accompanied by a one page original certificate of existence issued by the Secretary of State or other official having custody of the corporate records in the state or country under whose law it is incorporated. 1. The name of the cooperative is _____________________________________________________________________ ______________________________________________________________________________________________ Note: This must be the exact cooperative name. 2. State where incorporated __________________________________ 3. Date of its incorporation is __________________________________ 4. The period of its duration ___________________________________ 5. The address of its principal office in the state where incorporated Street Address ______________________________________________________________________________________________ City State ZIP+4 Mailing Address (Optional) ______________________________________________________________________________________________ City State ZIP+4 6. The South Dakota Registered Agent name ____________________________________________________________ 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 When listing a Commercial Registered Agent, please state their CRA #. This number can be obtained from the Commercial Registered Agent. _______________________________ American LegalNet, Inc. www.FormsWorkFlow.com 7. The purposes which it proposes to pursue in the State of South Dakota 8. The names and usual business addresses of its current directors and officers. 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 Secretary Street Address City State ZIP+4 _____________________________________________________________________________________________ Street Address City State ZIP+4 _____________________________________________________________________________________________ Treasurer Director Director Director Street Address City State ZIP+4 _____________________________________________________________________________________________ Street Address Street Address Street Address City City City State State State ZIP+4 ZIP+4 ZIP+4 _____________________________________________________________________________________________ _____________________________________________________________________________________________ 9. The aggregate number of members and class of those members, if any: Number of Members _______________________ _______________________ _______________________ Class ________________________________ ________________________________ ________________________________ 10. The aggregate number of shares which it has authority to issue, itemized by classes, par value of shares, shares without par value, and series, if any, within a class. Number of Shares _____________ _____________ _____________ Class ____________ ____________ ____________ Series _________________ _________________ _________________ Par value per share or statement that shares are without par value _________________________________________ _________________________________________ _________________________________________ American LegalNet, Inc. www.FormsWorkFlow.com 11. The aggregate number of issued shares which it has authority to issue, itemized by classes, par value of shares, shares without par value, and series, if any, within a class is: Number of Shares _____________ _____________ _____________ Class ____________ ____________ ____________ Series _________________ _________________ _________________ Par value per share or statement that shares are without par value _________________________________________ _________________________________________ _________________________________________ Dated ____________________________ (Signature of an authorized officer) ______________________________________________ ______________________________________________ ______________________________________________ (Printed Name) (Title) Foreigncoopcertificateof authority April 2012 American LegalNet, Inc. www.FormsWorkFlow.com
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