"Domestic Business Corporation Annual Report" - South Dakota

Domestic Business Corporation Annual Report is a legal document that was released by the South Dakota Secretary of State - a government authority operating within South Dakota.

Form Details:

  • Released on February 1, 2018;
  • The latest edition currently provided by the South Dakota Secretary of State;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the South Dakota Secretary of State.

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Secretary of State Office
ANNUAL REPORT
500 E Capitol Ave
Pierre, SD 57501
D
B
C
OMESTIC
USINESS
ORPORATION
(605)773-4845
SDCL 59-11-24, 24.1
corpinfo@state.sd.us
FILING FEE: $65
Additional Fee for Delinquent Reports: $50
Enter Filing Year
1. Business ID and Name:
Business ID
Business Name
South Dakota
2. The jurisdiction under whose law it is formed
3. The address of the principal executive office (business address).
Actual Street Address
City
State
ZIP+4
Mailing Address, if Different from Street Address
City
State
ZIP+4
Email Address (Optional)
4. The South Dakota Registered Agent’s name
South Dakota law permits the registered agent to be either: A) noncommercial registered agent (this may be an
individual), B) a commercial registered agent, or C) an office holder. Complete only one below, either (a) or (b) or (c).
(a) The South Dakota Noncommercial Registered Agent’s name
Actual Street Address in this State
City
State
ZIP+4
Mailing Address in this State, if Different from Street Address
City
State
ZIP+4
Email Address (Optional)
(b) When listing a Commercial Registered Agent, please state their CRA#. This number can be obtained from the
Commercial Registered Agent.
Commercial Registered Agent Name
CRA#
(c) Title of the office or other position with the business
Business Office’s Actual Street Address in this State
City
State
ZIP+4
Mailing Address in this State, if Different from Street Address
City
State
ZIP+4
Email Address (Optional)
Page 1 of 2
Secretary of State Office
ANNUAL REPORT
500 E Capitol Ave
Pierre, SD 57501
D
B
C
OMESTIC
USINESS
ORPORATION
(605)773-4845
SDCL 59-11-24, 24.1
corpinfo@state.sd.us
FILING FEE: $65
Additional Fee for Delinquent Reports: $50
Enter Filing Year
1. Business ID and Name:
Business ID
Business Name
South Dakota
2. The jurisdiction under whose law it is formed
3. The address of the principal executive office (business address).
Actual Street Address
City
State
ZIP+4
Mailing Address, if Different from Street Address
City
State
ZIP+4
Email Address (Optional)
4. The South Dakota Registered Agent’s name
South Dakota law permits the registered agent to be either: A) noncommercial registered agent (this may be an
individual), B) a commercial registered agent, or C) an office holder. Complete only one below, either (a) or (b) or (c).
(a) The South Dakota Noncommercial Registered Agent’s name
Actual Street Address in this State
City
State
ZIP+4
Mailing Address in this State, if Different from Street Address
City
State
ZIP+4
Email Address (Optional)
(b) When listing a Commercial Registered Agent, please state their CRA#. This number can be obtained from the
Commercial Registered Agent.
Commercial Registered Agent Name
CRA#
(c) Title of the office or other position with the business
Business Office’s Actual Street Address in this State
City
State
ZIP+4
Mailing Address in this State, if Different from Street Address
City
State
ZIP+4
Email Address (Optional)
Page 1 of 2
5. The names and business addresses of its principal officers and directors (governors). If, pursuant to SDCL 47-1A-732(1),
the board of directors has been eliminated, list the names of the shareholders.
Shareholder/Governor
Actual Street Address
City
State
ZIP+4
Shareholder/Governor
Actual Street Address
City
State
ZIP+4
Shareholder/Governor
Actual Street Address
City
State
ZIP+4
6. Beneficial Interest (optional) - A beneficial owner is a person who has or in some manner controls an equity security.
Please consult an attorney for legal advice if you have any questions concerning this entry. Any question under this
heading is considered a request for legal advice and the Secretary of State’s office is, by statute, not permitted, to
provide legal advice.
Owner
Description of Ownership
Percentage/Value
Owner
Description of Ownership
Percentage/Value
No person may execute this report knowing it is false in any material respect. Any violation may be subject to a civil and/or
criminal penalty (SDCL 47-1A-129; 22-39-36).
Dated
Signature of an authorized person
Email
(Optional)
Printed Name
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Annualreportdomestic Feb 2018
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