Non-Stock Application For Certificate Of Authority (Foreign Nonprofit Corporation) - Secretary Of State Office

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NON-STOCK APPLICATION FOR
Secretary of State Office
500 E Capitol Ave
CERTIFICATE OF AUTHORITY
Pierre, SD 57501
Clear Form
(605)773-4845
FOREIGN NONPROFIT CORPORATION
HELP
Please Type or Print Clearly in Ink
Original
Photocopy
Please submit one
and one
FILING FEE: $125
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. State where incorporated __________________________________
3. Date of its incorporation is __________________________________
4. The period of its duration ___________________________________
5. 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
6. The South Dakota Registered Agent name ____________________________________________________________
______________________________________________________________________________________________
Street Address or Rural Route Box Number in This State and
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.
_______________________________
7. The purpose or purposes that the corporation is to engage in South Dakota.

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