Application For Certificate Of Authority Form - Secretary Of State Page 2
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2(10) The aggregate number of its issued shares, itemized by classes, par value of shares, shares without par value, and series, if any,
within a class, is:
Number
Par value per share or statement that
of shares
Class
Series
shares are without par value
(11) The amount of its stated capital is $ __________________________________________________________________________
Shares issued times par value equals stated capital. In the case of no par value stock, stated capital is the consideration received for the
issued shares.
(12) This application is accompanied by a CERTIFICATE OF FACT or a CERTIFICATE OF GOOD STANDING duly
acknowledged by the Secretary of State or other officer having custody of corporate records in the state or country under whose laws it
is incorporated.
(13) That such corporation shall not directly or indirectly combine or make any contract with any incorporated company, foreign or
domestic, through their stockholders or the trustees or assigns of such stockholders, or with any copartnership or association of
persons, or in any manner whatever to fix the prices, limit the production or regulate the transportation of any product or commodity so
as to prevent competition in such prices, production or transportation or to establish excessive prices therefor.
(14) That such corporation, as a consideration of its being permitted to begin or continue doing business within the State of South
Dakota, will comply with all the laws of the said State with regard to foreign corporations.
The application must be signed, in the presence of a notary public, by the chairman of the board of directors, or by the president or by
another officer.
I DECLARE AND AFFIRM UNDER THE PENALTY OF PERJURY THAT THIS APPLICATION IS IN ALL THINGS, TRUE AND CORRECT.
Dated _______________________
__________________________________________________
(Signature)
__________________________________________________
(Title)
STATE OF ___________________________
__________________________
COUNTY OF
I, ________________________________________, a notary public, do hereby certify that on this _______ day of _________________ 20______,
personally appeared before me ________________________________________________ who, being by me first duly sworn, declared that he/she
is the ____________________________ of _____________________________________________, that he/she signed the foregoing document as
officer of the corporation, and the statements therein contained are true.
_______________________________
____________________________________________
My Commission Expires
(Notary Public)
Notarial Seal
***********************************************************************************************************
The Consent of Appointment below must be signed by the registered agent listed in number six.
Consent of Appointment by the Registered Agent
I, ______________________________________________, hereby give my consent to serve as the registered
(name of registered agent)
agent for ________________________________________________________________________________.
(corporate name)
Dated ____________________20 _____
________________________________
(signature of registered agent)
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