Secretary of State Office 500 E Capitol Ave Pierre, SD 57501 (605)773-4845 APPLICATION FOR REGISTRATION OF A FOREIGN LIMITED LIABILITY COMPANY Please Type or Print Clearly in Ink Please submit one Original and one Photocopy FILING FEE payable to SECRETARY OF STATE Telephone # ____________________ FAX # _______________________ Pursuant to the provisions of South Dakota law, the undersigned Limited Liability Company hereby applies for the registration of its name to and including December 31, _____, and submits the following statements: 1. The name of the company is ______________________________________________________________________ ______________________________________________________________________________________________ 2. The name of the state or country under whose laws it is organized is _______________________________________ 3. The date of its organization is _______________________________ 4. The business in which it is engaged is 5. This application is accompanied by an original Certificate of Good Standing executed by the Secretary of State in the state of organization. 6. This application is accompanied by the appropriate filing fee of One dollar ($1) for each month, or fraction thereof, between the date of filing such application and December 31st of the calendar year in which the application is filed. 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. Dated ____________________________ ______________________________________________ (Signature of an authorized member or manager) ______________________________________________ (Printed Name) ______________________________________________ (Title) llcRegistration July 2008 American LegalNet, Inc. www.FormsWorkflow.com