MINNESOTA SECRETARY OF STATE
DOMESTIC CORPORATION ANNUAL REGISTRATION
Minnesota Statutes Chapter 302A/319B
Must be filed by December 31
No Fee Is Due
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CURRENT INFORMATION ON FILE:
1. Charter#:
2. State of Incorporation: MINNESOTA
3. Corporate Name:
4. Registered Agent/ Registered Office Address:
Street:
Agent's Name (if applicable):
City:
Zip:
State:
INFORMATION YOU WISH TO CHANGE:
5. Principal Executive Office Address:
Principal Executive Office Address:
(PO Box Not Acceptable)
(PO Box Not Acceptable)
Street:
Street:
City:
State:
Zip:
City:
State:
Zip:
6. Name and Business Address of C.E.O.:
Name and Business Address of C.E.O.:
Name:
Name:
Street:
Street:
Zip:
City:
State:
Zip:
City:
State:
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:
Name: ___________________________________________________Phone:(_______)___________________ Ext. __________
E-Mail Address: __________________________________________________________________________________________
NOTICE: Failure to file this form by December 31 of this year will result in this corporation losing its good standing without
further notice from the Secretary of State.
Failure to file the annual registration for 3 consecutive years will result in the dissolution of the corporation pursuant to
Minnesota Statute 302A 821. A postcard notice will be sent prior to dissolution.
A CORPORATION THAT HAS BEEN DISSOLVED PURSUANT TO MINNESOTA STATUTES 302A.821, MUST
REINCORPORATE TO BE REGISTERED AS A BUSINESS IN THIS STATE.
bus8 Rev. 3-03
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