Free Subversive Agent Form - South Carolina

Print Form

STATE OF SOUTH CAROLINA SECRETARY OF STATE SUBVERSIVE AGENT FORM Filing Fee-$5.00

Name of Subversive Organization _____________________________________________________________________

Name of Chief Agent of Organization _________________________________________________________________ Address of Chief Agent ____________________________________________________________________________ _______________________________________________________________________________________________ Check the appropriate box. Do you or your organization directly or indirectly advocate, advise, teach or practice the duty or necessity of controlling, seizing or overthrowing the government of the United States, the state of South Carolina or any political division thereof? [ ] YES [ ] NO If yes, please outline the fundamental beliefs. If applicable, attach a copy of the bylaws or minutes of meetings from the last year. _________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________

Please name all other members of the organization located in South Carolina. If the space on this form is not sufficient, please attach additional pages referring to this section. _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________

___________________________________________________________ Signature of Chief Agent

________________________________ Date



Filing Instructions Subversive Agent Form (filed in duplicate) $5.00 made payable to the South Carolina Secretary of State Self-Addressed, Stamped Return Envelope Return all documents to: South Carolina Secretary of State's Office Attn: Corporate Filings P.O. Box 11350 Columbia, SC 29211