Non-Stock Application For Amended Certificate Of Authority (Foreign Nonprofit Corporation) - South Dakota Secretary Of State

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NON-STOCK APPLICATION FOR
Secretary of State Office
500 E Capitol Ave
AMENDED CERTIFICATE OF AUTHORITY
Pierre, SD 57501
(605)773-4845
Clear Form
FOREIGN NONPROFIT CORPORATION
Please Type or Print Clearly in Ink
HELP
Original
Photocopy
Please submit one
and one
FILING FEE: $25
SECRETARY OF STATE
payable to
Telephone # ____________________
FAX #
_______________________
Application must be accompanied by a one page original certificate of existence issued by the Secretary of State
or other official having custody of the corporate records in the state or country under whose law it is
incorporated.
1. The name of the corporation is _____________________________________________________________________
______________________________________________________________________________________________
2. The name of the corporation as amended _____________________________________________________________
______________________________________________________________________________________________
3. State where incorporated __________________________________
4. Date of its incorporation is __________________________________
5. The period of its duration ___________________________________
6. The address of its principal office in the state or country under whose laws it is incorporated,
______________________________________________________________________________________________
Street Address
City
State
ZIP+4
______________________________________________________________________________________________
Mailing Address (Optional)
City
State
ZIP+4
7. The South Dakota Registered Agent name ____________________________________________________________
______________________________________________________________________________________________
Street Address or Rural Route Box Number in This State
City
State
ZIP+4
______________________________________________________________________________________________
Mailing Address in This State, if Different from Street Address
City
State
ZIP+4
When listing a Commercial Registered Agent, please state their CRA #.
This number can be obtained from the Commercial Registered Agent.
_______________________________

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