Free RETURN TO - South Dakota

Secretary of State Office 500 E Capitol Ave Pierre, SD 57501 (605)773-4845

QUALIFICATION FOR FARMING
Corporation
Please Type or Print Clearly in Ink No Filing Fee

Clear Form

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Telephone # ____________________ FAX # _______________________

1. The name of the Corporation is _____________________________________________________________________ ______________________________________________________________________________________________ 2. The state of incorporation __________________________________ 3. The South Dakota Registered Agent name ___________________________________________________________ ______________________________________________________________________________________________
Street Address (Required to be a South Dakota Address) City State ZIP+4

______________________________________________________________________________________________
Mailing Address (Optional ­ Required to be a South Dakota Address) City State ZIP+4

4. List the acreage and location by section, township and county of each lot or parcel of land in this state owned or leased by the Corporation and used for the growing of crops or the keeping or feeding of poultry or livestock: _______________________________________________________________________________________________
County Section Township Acres

_______________________________________________________________________________________________
County Section Township Acres

_______________________________________________________________________________________________
County Section Township Acres

_______________________________________________________________________________________________
County Section Township Acres

5. The names and business addresses of its principal officers and directors. Please place a check mark next to the name if the principal officer serves as a director. _____________________________________________________________________________________________
President Street Address City State ZIP+4

_____________________________________________________________________________________________
Vice President Street Address City State ZIP+4

_____________________________________________________________________________________________
Secretary Street Address City State ZIP+4

_____________________________________________________________________________________________
Treasurer Street Address City State ZIP+4

_____________________________________________________________________________________________
Director Street Address City State ZIP+4

_____________________________________________________________________________________________
Director Street Address City State ZIP+4

6. Please check one: This is a Family Farm Corporation. This is an Authorized Farm Corporation. 7. Please complete the appropriate section: Family Farm Corporation
The NUMBER OF SHARES owned by person(s) residing on the farm or actively operating the farm, or who has resided on or has actively operated the farm, or their relatives within the third degree of kindred, or by resident stockholders who are family farmers and are actively engaged in farming as their primary economic activity. Note: Degree of kindred is defined as the number of generations with each

generation being a degree (SDCL 23A-20-30 Authorized Farm Corporation The PERCENTAGE of gross receipts of the corporation derived from rent, royalties, dividends, interest and annuities. Note: Percentage amount cannot exceed 20% of its gross receipts.

_______________

______________%

8. The name, address and number of shares owned by each shareholder ________________________________________________________________________________________________
Name Address City State Zip Shares Kindred

________________________________________________________________________________________________
Name Address City State Zip Shares Kindred

________________________________________________________________________________________________
Name Address City State Zip Shares Kindred

________________________________________________________________________________________________
Name Address City State Zip Shares Kindred

________________________________________________________________________________________________
Name Address City State Zip Shares Kindred

Dated ____________________________

______________________________________________
(Signature of an authorized officer)

______________________________________________
(Printed Name)

______________________________________________
(Title)

Corporationfarmqualification 2008