Secretary of State Office 500 E Capitol Ave Pierre, SD 57501 (605)773-4845 APPLICATION FOR REGISTRATION OF A FOREIGN BUSINESS CORPORATION Please Type or Print Clearly in Ink Please submit one Original and one Photocopy FILING FEE $12 payable to SECRETARY OF STATE Telephone # ____________________ FAX # _______________________ Pursuant to the provisions of South Dakota law, the undersigned Corporation hereby applies for the registration of its name to and including December 31, 20 _____, and submits the following statement: 1. The name of the company is ______________________________________________________________________ ______________________________________________________________________________________________ 2. It is incorporated under the laws of __________________________________________________________________ 3. The date of its incorporation ________________________________ 4. A brief description of the nature of business 5. This application must include a CERTIFICATE OF EXISTENCE or a document of similar import, duly authenticated 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. The registration is effective until the close of the calendar year in which the application for registration is filed. A renewal application may be filed between the first day of October and the thirty-first day of December in each year, and shall extend the registration for the following calendar year. Application must be signed by an authorized officer of the corporation. Dated ____________________________ ______________________________________________ (Signature of an authorized officer) ______________________________________________ (Printed Name) ______________________________________________ (Title) registration application July 2008 American LegalNet, Inc. www.FormsWorkflow.com