Form Bus84 - Domestic And Foreign Limited Liability Partnership Annual Renewal
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1MINNESOTA SECRETARY OF STATE
DOMESTIC AND FOREIGN LIMITED LIABILITY PARTNERSHIP
ANNUAL RENEWAL
For your convenience, this form has been designed to
be completed online. You must have Acrobat Reader
Minnesota Statutes Chapter 323A
5.0 or above to use this new feature. Once your form
is completed, be sure to select "Print" at the bottom of
Must be filed by December 31
the screen to capture your data entry for printing.
After printing, sign and send applicable fees as
required.Note: Selecting "Reset" will clear all data
Filing Fee $135
entry from this page. To print a blank form, go to
File->Print.
READ INSTRUCTIONS ON BACK BEFORE COMPLETING THIS FORM
CURRENT INFORMATION ON FILE:
1. File #:
2. Governed Under the Laws of:
3. Limited Liability Partnership Name:
4. Chief Executive Office Address: (referred to as principal place of business)
Street:_________________________________________________________________________________________________
City:_____________________________________________________________State:____________________Zip:___________
Note: If the address in line 4 is not in Minnesota you must provide an address under either number 5 or 6.
5. List a complete address of a partnership Office in Minnesota if any.:
(PO Box by itself is not acceptable)
Street:_________________________________________________________________________________________________
City:_____________________________________________________________State:____________________Zip:___________
6. Registered Agent/ Registered Office Address in Minnesota, if any (PO Box by itself is not acceptable):
Agent's Name (if applicable):________________________________________________________________________________
Street:_________________________________________________________________________________________________
City:_____________________________________________________________State:____________________Zip:___________
7. Does this limited liability partnership 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 limited liability partnership:
Name: _______________________________________________(________)___________________________ Ext.__________
E-MailAddress:___________________________________________________________________________________________
NOTICE: Failure to file this form by December 31 of this year will result in the revocation of the statement of qualifica-
tion of this limited liability partnership without further notice from the Secretary of State, pursuant to Minnesota
Statutes, section 323A.10-03, subsection (d).
bus84
Rev. 11-04
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