Secretary of State Office
500 E Capitol Ave
Pierre, SD 57501
Please Type or Print Clearly in Ink
Please submit one
FILING FEE: $300
SECRETARY OF STATE
Telephone # ____________________
1. The name of the cooperative is ____________________________________________________________________
Note: This must be the exact cooperative name.
2. The effective date of its administrative dissolution ______________________________________________________
Any cooperative administratively dissolved may apply to the secretary of state for
reinstatement within 2 years after the effective date of dissolution.
3. State that the ground or grounds for dissolution either did not exist, or have been eliminated by filing all required
reports and paying all fees and penalties.
(Signature of an authorized officer)
domesticcooperativereinstartment April 2012