Domestic And Foreign Limited Liability Company Annual Renewal - Minnesota Secretary Of State

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For your convenience, this form has
been designed to be completed
online. You must have Acrobat
Reader 5.0 or above to use this new
MINNESOTA SECRETARY OF STATE
feature. Once your form is
completed, be sure to select "Print"
DOMESTIC AND FOREIGN
at the bottom of the screen to
capture your data entry for printing.
LIMITED LIABILITY COMPANY ANNUAL RENEWAL
After printing, sign and send
applicable fees as required.Note:
Minnesota Statutes Chapter 322B
Selecting "Reset" will clear all data
entry from this page. To print a
Must be filed by December 31
blank form, go to File->Print.
READ INSTRUCTIONS ON BACK BEFORE COMPLETING THIS FORM
CURRENT INFORMATION ON FILE:
1. File #:
2. This LLC is formed under the laws of:
3. Limited Liability Company Name: (required)
4. Alternate Name, if any (Foreign LLC only):
5. Registered Agent/ Registered Office Address: (required)
Agent's Name: (if applicable)
Street:
City:
State:
Zip:
6. Principal Executive Office Address: (required)
(PO Box alone is not acceptable)
Street:______________________________________________________________________________________________
City:___________________________________________State:_______________________Zip:______________________
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:______________________________________________________________________________________________
City:___________________________________________State:_______________________Zip:______________________
8. Does this limited liability company own, lease, or have any financial interest in agricultural land or land capable of being
farmed?
____ Yes ____ No
9. Name and daytime telephone number and/or e-mail address of a contact person:
Name: _____________________________________________(_________)_________________________ Ext.__________
E-Mail address: ______________________________________________________________________________________
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.
Print
Reset
bus68 Domestic and Foreign LLC Annual Renewal Rev. 8-05

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