South Dakota > Secretary Of State > Corporation > Nonprofit Corporation > Domestic
Annual Report - South Dakota
| Annual Report Form. This is a South Dakota form and can be used in Domestic Nonprofit Corporation Corporation Secretary Of State . |
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Enter Filing Year ANNUAL REPORT DOMESTIC NONPROFIT Please Type or Print Clearly in Ink FILE DATE ____________________ Secretary of State Office 500 E Capitol Ave Pierre, SD 57501 (605)773-4845 FILING RECEIPT NO ___________________ FEE: $10 Make check payable to SECRETARY OF STATE 1. Corporate Name, Registered Agent Name and Address: Telephone # ____________________ South Dakota 2. The jurisdiction under whose law it is formed __________________________________________________________ 3. The address of the principal executive office (business address). ______________________________________________________________________________________________ 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. South Dakota Law requires at least three directors. _____________________________________________________________________________________________ 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 _____________________________________________________________________________________________ Director 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) annualreportdomesticnonprofit February 2011 American LegalNet, Inc. www.FormsWorkFlow.com *By signing this form you agree to have both the fee and the form processed electronically. A fee of up to $40 will be assessed for returned payments.
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