Limited Liability Company Annual Renewal - Minnesota Secretary Of State

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Office of the Minnesota Secretary of State
Limited Liability Company | Annual Renewal
Minnesota Statutes, Section 5.34
Must be filed by December 31
Read the instructions before completing this form.
Current Information on File: (If changes are needed, see instructions for further details.)
1. File Number:
2. Home Jurisdiction:
3. Business Name: (Required)
4. Alternate Name used in Minnesota, if any: (Foreign Limited Liability Companies Only)
5. Registered Agent and Office Address: (Required)
Street Address (A PO Box by itself is not acceptable)
Zip
City
State
Agent’s Name: (if applicable)
6. Principal Executive Office Address: (Required)
Zip
State
Street Address (A PO Box by itself is not acceptable)
City
7. Name and business address of manager or other person exercising the principal functions of the chief manager of the
limited liability company: (Required)
Name
Street Address
City
State
Zip
Email Address for Official Notices
Enter an email address to which the Secretary of State can forward official notices required by law and other notices:
Check here to have your email address excluded from requests for bulk data, to the extent allowed by Minnesota law.
List a name and daytime phone number of a person who can be contacted about this form:
Contact Name
Phone Number
If this filing is governed under Minnesota Statutes 322B, I certify that this Limited Liability Company has not yet
elected to come under Minnesota Statutes 322C in its operating agreement.
Entities that own, lease, or have any financial interest in agricultural land or land capable of being farmed must
register with the MN Dept. of Agriculture’s Corporate Farm Program.
Does this entity own, lease, or have any financial interest in agricultural land or land capable of being farmed?
Yes
No
NOTICE: Failure to file this form by December 31 of this year will result in the termination or revocation of this limited
liability company without further notice from the Secretary of State, pursuant to Minnesota Statutes, section 322B.960 or
322C.0705.
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