Application For Certificate Of Authority Foreign Cooperative - South Dakota Secretary Of State Page 2

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7. The purposes which it proposes to pursue in the State of South Dakota
8. The names and usual business addresses of its current directors and officers. Please place a check mark next to the
name if the principal officer serves as a director.
_____________________________________________________________________________________________
President
Street Address
City
State
ZIP+4
_____________________________________________________________________________________________
Vice President
Street Address
City
State
ZIP+4
_____________________________________________________________________________________________
Secretary
Street Address
City
State
ZIP+4
_____________________________________________________________________________________________
Treasurer
Street Address
City
State
ZIP+4
_____________________________________________________________________________________________
Director
Street Address
City
State
ZIP+4
_____________________________________________________________________________________________
Director
Street Address
City
State
ZIP+4
_____________________________________________________________________________________________
Director
Street Address
City
State
ZIP+4
9. The aggregate number of members and class of those members, if any:
Number of Members
Class
_______________________
________________________________
_______________________
________________________________
_______________________
________________________________
10. The aggregate number of shares which it has authority to issue, itemized by classes, par value of shares, shares
without par value, and series, if any, within a class.
Number of
Class
Series
Par value per share or statement
Shares
that shares are without par value
_____________
____________
_________________
_________________________________________
_____________
____________
_________________
_________________________________________
_____________
____________
_________________
_________________________________________

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