Articles Of Organization Domestic Limited Liability Company - South Dakota Secretary Of State, Annual Report Domestic L.l.c. - South Dakota Secretary Of State Page 4

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ANNUAL REPORT
Secretary of State Office
500 E Capitol Ave
FILE DATE
____________________
DOMESTIC L.L.C.
Pierre, SD 57501
RECEIPT NO ___________________
(605)773-4845
Please Type or Print Clearly in Ink
Clear Form
FILING FEE: $50
SECRETARY OF STATE
Make check payable to
1. L.L.C. ID and Name:
HELP
Search for Corporate ID, Name and Agent
Telephone # ____________________
FAX #
_______________________
FILING DATE: Due during the month
the Certificate of Organization was
issued, and delinquent after the last
day of the following month.
2. The address of the principal executive office in or out of the State of South Dakota.
______________________________________________________________________________________________
Street Address
City
State
ZIP+4
______________________________________________________________________________________________
Mailing Address (Optional)
City
State
ZIP+4
3. 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
4. The names and business addresses of its managers. If the L.L.C. is member-managed the names and addresses
of the members need not be set forth.
______________________________________________________________________________________________
Manager
Street Address
City
State
ZIP+4
______________________________________________________________________________________________
Manager
Street Address
City
State
ZIP+4
______________________________________________________________________________________________
Manager
Street Address
City
State
ZIP+4
Dated ____________________________
__________________________________________________________
(Signature of an Authorized Manager or Member)
__________________________________________________________
(Printed Name)
__________________________________________________________
(Title)
Annualreportdomesticllc July2008

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