Charitable Trust Registration Statement - Minnesota Attorney General Page 2

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2.
Address of registered agent in the State of Minnesota or the address of the person who has custody
of the organization’s books and records if not kept at the organization’s office.
Name __________________________________________________________________________
Street and Number ________________________________________________________________
City___________________, State_______, ZIP__________, Telephone _____________________
3.
Date on which taxable year for federal tax purposes ends __________________________________
4.
Place and date the organization was established _________________________________________
_______________________________________________________________________________
5.
Attach a copy of the articles of incorporation or the instrument creating the organization and all the
amendments thereto.
6.
Attach a copy of your IRS determination letter. If the application is pending, attach a copy of the
first page of the application.
7.
Attach a copy of your most recent IRS return.
8.
Attach a $25 filing fee made payable to the State of Minnesota.
__________________________________
____________________________________________
Date
Signature of Officer and Title
NOTE: All information and documentation provided as part of this registration, including this form, shall
be public record.

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