Annual Farm Report Limited Liability Company - South Dakota Secretary Of State
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1ANNUAL FARM REPORT
Secretary of State Office
500 E Capitol Ave
FILE DATE
____________________
Limited Liability Company
Pierre, SD 57501
RECEIPT NO ___________________
(605)773-4845
Please Type or Print Clearly in Ink
Clear Form
No Filing Fee
1. L.L.C. Name and Address:
HELP
Search for Corporate ID, Name and Agent
Telephone # ____________________
FAX #
_______________________
FILING DATE: To be filed with the
Annual Report.
2. The name of the South Dakota Registered Agent _______________________________________________________
______________________________________________________________________________________________
Street Address (Required to be a South Dakota Address)
City
State
ZIP+4
______________________________________________________________________________________________
Mailing Address (Optional – Required to be a South Dakota Address)
City
State
ZIP+4
3. List only the changes since the last report of 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.
_______________________________________________________________________________________________
County
Section
Township
Acres
_______________________________________________________________________________________________
County
Section
Township
Acres
_______________________________________________________________________________________________
County
Section
Township
Acres
4. Please complete the appropriate section:
Family Farm
The NUMBER OF MEMBERSHIP INTERESTS owned by person(s) residing
Corporation
on the farm or actively operating the farm, or who has resided on or has
actively operated the farm, or their relatives within the third degree of kindred,
or by resident stockholders who are family farmers and are actively engaged
________________
in farming as their primary economic activity.
Authorized Farm
The PERCENTAGE of gross receipts of the company derived from rent,
Corporation
royalties, dividends, interest and annuities.
______________%
5. List changes only of names, address and number of membership interests owned by shareholders.
________________________________________________________________________________________________
Name
Address
City
State
Zip
Shares
Kindred
________________________________________________________________________________________________
Name
Address
City
State
Zip
Shares
Kindred
________________________________________________________________________________________________
Name
Address
City
State
Zip
Shares
Kindred
Dated ____________________________
______________________________________________
(Signature of an authorized officer)
______________________________________________
(Printed Name)
______________________________________________
(Title)
llcfarmreport July 2009
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Parent category: Business