Foreign Corporation Annual Renewal Form - 2004

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For your convenience, this
form has been designed to be
MINNESOTA SECRETARY OF STATE
completed online. You must
have Acrobat Reader 5.0 or
FOREIGN CORPORATION ANNUAL RENEWAL
above to use this new feature.
Once your form is completed,
Minnesota Statutes Chapter 303
be sure to select "Print" at the
bottom of the screen to
Must be filed by December 31
capture your data entry for
printing. After printing, sign
FILING FEE: $115
and send applicable fees as
required.Note: Selecting
"Reset" will clear all data entry
READ INSTRUCTIONS ON BACK BEFORE COMPLETING THIS FORM
from this page. To print a
blank form, go to File->Print.
CURRENT INFORMATION ON FILE:
1. File#:
2. Governed under the laws of the State of:
3. Corporate Name Used in Minnesota:
4. Legal Name in State of Incorporation:
5. Registered Agent/ Registered Office Address:
Agents Name (if applicable):
Street:
City:
State:
Zip:
6. Name and business address of C.E.O.:
Name: _________________________________________________________________________________________________
Address: _______________________________________________________________________________________________
City:
State:
Zip:
_______________________________________________________________________________________________________
7. Does this corporation own, lease, or have any financial interest in agricultural land or land capable of being farmed?
____Yes ____ No
8. Name and daytime telephone number and/or e-mail address of contact person for the corporation:
Name: ____________________________________________(_______ )______________________________ Ext. __________
E-Mail Address: __________________________________________________________________________________________
NOTICE: Failure to file this form by December 31 of this year will result in the revocation of this corporation without fur-
ther notice from the Secretary of State, pursuant to Minnesota Statutes, section 303.17.
Reset
Print
bus28 Rev. 11-04

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