Qualification For Farming

Page 1 of 2 Secretary of State Office 500 E Capitol Ave Pierre, SD 57501 (605)773-4845 corpinfo@state.sd.us 1.The Name and Business ID of the company is: Name (Note: This must be the exact limited liability company name as registered.) 2.The name of the state or other jurisdiction under whose laws it is organized: Business ID South Dakota 3.The South Dakota Registered Agent222s name South Dakota law permits the registered agent to be either: A) noncommercial registered agent (this may be anindividual) or B) a commercial registered agent. Complete only one below, either (a) or (b). (a)The South Dakota Noncommercial Registered Agent222s 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 theCommercial Registered Agent. Commercial Registered Agent Name CRA# 4.List the acreage and location by section, township and county of each lot or parcel of land in this state owned or leasedby the Limited Liability Company and used for the growing of crops or the keeping or feeding of poultry or livestock (Youmay add additional pages if necessary). Acres Section Township County Acres Section Township County Acres Section Township County Acres Section Township County 5.Is the majority of the voting stock held by members of a family, an estate of a family member, or a trust that benefitsmembers of the family? Yes No QUALIFICATION FOR FARMING DOMESTIC LIMITED LIABILITY COMPANY SDCL 47-9A Please Type or Print Clearly in Ink NO FILING FEE American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 2 Domesticllcfarmqualification March 2017 6. Is at least one of the stockholders: (a) a person residing on the farm? Yes No (b) a person actively operating the farm? Yes No (c) a person who has resided on the farm? Yes No (d) a person who has actively operated the farm? Yes 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 Address City State Zip Shares DOK Name Address City State Zip Shares DOK Name Address City State Zip Shares DOK Name Address City State Zip Shares DOK Name Address City State Zip Shares 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 Address City State Zip Shares DOK Name Address City State Zip Shares DOK Name Address City State Zip Shares 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 American LegalNet, Inc. www.FormsWorkFlow.com