Certificate Of Authority To Transact Business In Minnesota Form - 2013

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Office of the Minnesota Secretary of State
Foreign Limited Liability Company | Certificate of Authority to
Transact Business in Minnesota
Minnesota Statutes, Chapter 322B
Read the instructions before completing this form.
Filing Fee: $205 for expedited service in-person and online filings, $185 if submitted by mail
This Certificate of Authority has been approved pursuant to Minnesota Statutes, Chapter 322B. By filing this
Certificate of Authority, the company certifies that it has complied with the organization laws in the jurisdiction
of its organization.
1. The legal name of this company in the Home Jurisdiction: (Required)
2. The alternate name under which the company will do business in Minnesota, if different than the legal name listed
above:
3. Home Jurisdiction: (Required)
4. List the Expiration date of company: (Required)
Perpetual or Month/Day/Year
5. The name and address of the registered agent and registered office in the State of Minnesota: (Required)
Full Name of Registered Agent
MN
Street Address (A PO Box by itself is not acceptable)
City
State
Zip Code
6. Home address of the office in the jurisdiction where LLC is organized.
Street Address (A PO Box by itself is not acceptable)
City
State
Zip Code
7. Principal Place of Business Address: (Required ONLY if there is no home address in the home jurisdiction)
Street Address (A PO Box by itself is not acceptable)
City
State
Zip Code
8. I, the undersigned, certify that I am signing this document as the person whose signature is required, or as agent of the
person(s) whose signature would be required who has authorized me to sign this document on his/her behalf, or in both
capacities. I further certify that I have completed all required fields, and that the information in this document is true and
correct and in compliance with the applicable chapter of Minnesota Statutes. I understand that by signing this document
I am subject to the penalties of perjury as set forth in Section 609.48 as if I had signed this document under oath.
Signature of Authorized Person or Authorized Agent
Date

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