Secretary of State Office 500 E Capitol Ave Pierre, SD 57501 (605)773-4845 APPLICATION FOR RENEWAL OF REGISTRATION FOREIGN BUSINESS CORPORATION Please Type or Print Clearly in Ink Please submit one Original and one Photocopy FILING FEE: $10 payable to SECRETARY OF STATE Telephone # ____________________ FAX # _______________________ Application must include a CERTIFICATE OF EXISTENCE, or a document or 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. RENEWAL DATE: 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. Pursuant to the provisions of South Dakota law, the undersigned Corporation hereby applies for the renewal of the registration of its name to and including December 31, 20______, and submits the following statement: 1. The name of the corporation is _____________________________________________________________________ ______________________________________________________________________________________________ Note: This must be the exact corporate name. 2. State where incorporated __________________________________ 3. Date of its incorporation is __________________________________ 4. A brief description of the nature of business The application must be signed by an authorized officer of the corporation. Dated ____________________________ ______________________________________________ (Signature of an authorized officer) ______________________________________________ (Printed Name) ______________________________________________ (Title) registrationrenewal July 2008 American LegalNet, Inc. www.FormsWorkflow.com