Annual Farm Report - Secretary Of State State Capitol
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1SECRETARY OF STATE
FILE DATE ________________
ANNUAL FARM REPORT
STATE CAPITOL
RECEIPT NO. ______________
500 E. CAPITOL AVE.
PLEASE TYPE OR USE BLACK INK
NO FILING FEE
Clear Form
PIERRE, S.D. 57501
(605)773-4845
Fax (605)773-4550
Print
FILING DATE: Due during the month the Certificate of
Incorporation was issued, and delinquent the last day of the
following month.
Pursuant to the provisions of SDCL 47-9A, the undersigned corporation hereby submits the following corporate farming annual report:
1. The name of the corporation is _____________________________________________________________________________________________2
2. The state of incorporation is _______________________________________________________________________________________________
3. The name of the registered agent in South Dakota and the registered office address is __________________________________________________
______________________________________________________________________________________________________________________
4. If a foreign corporation, the address of its principal office, or registered office in its state of incorporation is ________________________________
______________________________________________________________________________________________________________________
5. List only the changes since the last report of the acreage and location by section, township, and county of each lot or parcel of land in this state
owned or leased by the corporation.
______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
6. List only the changes of the names or addresses of the officers and directors.
NAME
REPLACED
AS OFFICER OR DIRECTOR
______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
NUMBER OF SHARES
7. The
owned by person(s) residing on the farm or actively operating the farm, or who has resided on or has actively
operated the farm, or their relatives within the third degree of kindred, or by resident stockholders who are family farmers and are actively
engaged in farming as their primary economic activity is ____________________________. (Degree of kindred is defined as number of
generations with each generation being a degree.) #6 applies only to FAMILY FARM CORPORATIONS
8. List changes only of names, address and number of shares owned by shareholders
NAME
ADDRESS
NUMBER OF SHARES
DEGREE OF KINDRED
______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
9. The percentage of gross receipts of the corporation derived from rent, royalties, dividends, interest and annuities is ________________________ %.
(Applies only to AUTHORIZED FARM CORPORATION)
________________________.
______________________________________________
Dated
(Signature)
______________________________________________
(Title)
farmannualreport Jan 2005
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