Sd Eform-0905 V1 - Update Of Corporate Officers

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South Dakota Department of Revenue
SD EForm - 0905
V1
Update of Corporate Officers
Name of Corporation ___________________________________________________________
Federal Employer’s ID Number ___________________________________________________
South Dakota Department of Re venue Tax License Number _____________________________
Name of Business ______________________________________________________________
Address ______________________________________________________________________
______________________________________________________________________
Mailing Address _______________________________________________________________
______________________________________________________________
Phone Number _______________________________ Fax ____________________________
Corporate Officers
Previous Officer
Current Officer
Name__________________________________
President
Address________________________________
Name__________________________________
Address________________________________
________________________________
Phone No. ______________________________
________________________________
SS No. _________________________________
Phone No. ______________________________
Date effective____________________________
SS No. _________________________________
Signature _______________________________
Name__________________________________
Vice President
Address________________________________
Name__________________________________
________________________________
Address________________________________
Phone No. ______________________________
________________________________
SS No. _________________________________
Phone No. ______________________________
Date effective____________________________
SS No. _________________________________
Signature _______________________________
Name__________________________________
Secretary
Address________________________________
Name__________________________________
Address________________________________
________________________________
Phone No. ______________________________
________________________________
SS No. _________________________________
Phone No. ______________________________
Date effective____________________________
SS No. _________________________________
Signature _______________________________
Treasurer
Name__________________________________
Name__________________________________
Address________________________________
Address________________________________
________________________________
________________________________
Phone No. ______________________________
Phone No. ______________________________
SS No. _________________________________
SS No. _________________________________
Date effective____________________________
Signature _______________________________
1.
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