Secretary of State Office 500 E Capitol Ave Pierre, SD 57501 (605)773-4845 APPLICATION FOR RESERVATION OF NAME LIMITED LIABILITY COMPANY Please Type or Print Clearly in Ink Please submit one Original and one Photocopy FILING FEE: $20 payable to SECRETARY OF STATE Telephone # ____________________ FAX # _______________________ Pursuant to the provisions of the South Dakota Law, the undersigned hereby applies for reservation of the following name for a period of one hundred twenty (120) days, which period shall not be extended. 1. The name to be reserved is _______________________________________________________________________ ______________________________________________________________________________________________ Note: The name must contain limited liability company, limited company or the abbreviation L.L.C., LLC, L.C. or LC. Limited may be abbreviated as Ltd. and company may be abbreviated as Co. 2. Check one to indicate how the reserved name is to be used: Any person intending to organize a domestic limited liability company Any domestic L.L.C. registered in this state, which intends to adopt that name Any foreign L.L.C. intending to register in this state Any foreign L.L.C. registered in this state, which intends to adopt that name Dated ____________________________ ______________________________________________ (Signature of the applicant) ______________________________________________ (Printed Name) ______________________________________________ (Title) reservationofname July 2008 American LegalNet, Inc. www.FormsWorkflow.com