Notice Of Change Of Registered Office Form - Minnesota Secretary Of State - 2002
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1For your convenience, this form has
MINNESOTA SECRETARY OF STATE
been designed to be completed
online. You must have Acrobat
NOTICE OF CHANGE OF REGISTERED OFFICE/
Reader 5.0 or above to use this new
feature. Once your form is completed,
REGISTERED AGENT
be sure to select "Print" at the bottom
of the screen to capture your data
entry for printing. After printing, sign
and send applicable fees as
Please read the instructions on the back before completing this form.
required.Note: Selecting "Reset" will
clear all data entry from this page. To
print a blank form, go to File->Print.
1. Entity Name:
____________________________________________________________________________________________________
2. Registered Office Address (No. & Street): List a complete street address or rural route and rural route box number.
A post office box is not acceptable.
_____________________________________________________________________MN____________________________
Street
City
State
Zip Code
3. Registered Agent (Registered agents are required for foreign entities but optional for Minnesota entities):
____________________________________________________________________________________________________
If you do not wish to designate an agent, you must list "NONE" in this box. DO NOT LIST THE ENTITY NAME.
In compliance with Minnesota Statutes, Section 302A.123, 303.10, 308A.025, 317A.123 or 322B.135 I certify that the above
listed company has resolved to change the entity’s registered office and/or agent as listed above.
I certify that I am authorized to execute this notice and I further certify that I understand that by signing this notice I am subject to
the penalties of perjury as set forth in Minnesota Statutes Section 609.48 as if I had signed this notice under oath.
________________________________________________
Signature of Authorized Person
Name and Telephone Number of a Contact Person:________________________________(______)______________________
please print legibly
Filing Fee: For Profit Minnesota Corporations, Cooperatives and Limited Liability Companies: $35.00.
Minnesota Nonprofit Corporations: No $35.00 fee is due unless you are adding or removing an agent.
Non-Minnesota Corporations: $50.00.
Print
Make checks payable to Secretary of State
Reset
Return to: Minnesota Secretary of State
180 State Office Bldg.
100 Constitution Ave.
St. Paul, MN 55155-1299
(651) 296-2803
03930275 Rev. 7/02
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