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Mail To:
Minnesota Attorney General’s Office
STATE OF MINNESOTA
Charities Division
445 Minnesota Street, Suite 1200
CHARITABLE TRUST
St. Paul, MN 55101-2130
INITIAL REGISTRATION FORM
Website Address:
(Pursuant to Minn. Stat. §§ 501B.33-.45)
SECTION A: Background Information
Legal Name of Organization _______________________________________________________________
Federal EIN:________________________ Most Recent Fiscal Year-End: ________________________
mm/dd/yyyy
Mailing Address:
Physical Address:
____________________________________________________
_____________________________________________________
Contact Person
Contact Person
____________________________________________________
_____________________________________________________
Street Address
Street Address
____________________________________________________
_____________________________________________________
City, State, and Zip Code
City, State, and Zip Code
____________________________________________________
_____________________________________________________
Phone Number
Phone Number
____________________________________________________
_____________________________________________________
Email Address
Email Address
1. Organization’s website:___________________________________________________________________
2. Type of legal entity:
Corporation
Partnership
Sole Proprietorship
Unincorporated Association
_____________________
Limited Liability Company
Other:
3. If organization is incorporated, state and date of incorporation:
__________________________________________
4. Is the organization incorporated pursuant to Minnesota Statutes Chapter 317A?
Yes
No
5. Address of principal office in Minnesota, or, if none, the name and address of the person who has custody
of books and records within Minnesota:
________________________________________________________________________________________
Contact Person
Phone Number
Email Address
________________________________________________________________________________________
Street Address
City, State, and Zip Code
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