MINNESOTA SECRETARY OF STATE
STATEMENT OF PARTNERSHIP AUTHORITY
CHAPTER 323A
PLEASE TYPE OR PRINT IN BLACK INK.
READ THE INSTRUCTIONS BEFORE COMPLETING THIS FORM
Fee: $135.00
1. Provide the Partnership name (in home jurisdiction):___________________________________________________
_________________________________________________________________________________________________
2. List the jurisdiction in which the partnership is formed:__________________________________________________
3. Address of the partnership’s principal place of business:
_________________________________________________________________________________________________
Complete Street Address or Rural Route and Rural Route Box Number City State ZIP
(Please note: PO Box is unacceptable)
4. List one office of partnership in Minnesota, if one exists:
_________________________________________________________________________________________________
Complete Street Address or Rural Route and Rural Route Box Number City State ZIP
(Please note: PO Box is unacceptable)
5. Fully complete the section referenced by the letter A) below, OR fully complete the section referenced by the
letters B) AND C).
A) Provide full names and complete addresses of all partners — OR —
_________________________________________________________________________________________________
Name of Partner and address
_________________________________________________________________________________________________
Name of Partner and address
_________________________________________________________________________________________________
Name of Partner and address
_________________________________________________________________________________________________
Name of Partner and address
_________________________________________________________________________________________________
Name of Partner and address
_________________________________________________________________________________________________
Name of Partner and address
_________________________________________________________________________________________________
Name of Partner and address *