Free Change of Registered Office/Agent.pdf - Minnesota

MINNESOTA SECRETARY OF STATE

NOTICE OF CHANGE OF REGISTERED OFFICE/REGISTERED AGENT
Read the instructions before completing this form. 1. Entity Name:

For your convenience, this form has been designed to be completed online. You must have Acrobat Reader 7.0 or above to use this new feature. Once your form is completed, be sure to select "Print" at the bottom of 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 entry from this page. To print a blank form, go to File->Print.

______________________________________________________________________________ 2. Registered Office Address: List a complete street address or rural route and rural route box number.
(A post office box by itself is not acceptable)

______________________________________________________________MN_____________________ Street City State Zip Code 3. Registered Agent (Registered agents are required for foreign entities, but optional for Minnesota entities):

____________________________________________________________________________________
If you do not wish to designate an agent, you must list "NONE" in this box. DO NOT LIST THE ENTITY NAME.

In compliance with Minnesota Statutes, Section 302A.123, 303.10, 308A.025, 308B, 317A.123 or 322B.135, I certify that the above listed company has resolved to change the entity's registered office and/or agent as listed above.

I certify that I am authorized to execute this notice and I further certify that I understand that by signing this notice I am subject to the penalties of perjury as set forth in Minnesota Statutes Section 609.48 as if I had signed this notice under oath.

________________________________________________ Signature of Authorized Person

Name & Telephone Number of a Contact Person: ____________________________________(____)____________________ please print legibly Telephone Name Filing Fee payable to the MN Secretary of State Profit Minnesota Corporations, Cooperatives and Limited Liability Companies: $35.00. Minnesota Nonprofit Corporations: No $35.00 fee is due, unless you are adding, removing or changing the agent. Non-Minnesota Corporations: $50.00. Reset Print

INSTRUCTIONS FOR COMPLETING THE "NOTICE OF CHANGE OF REGISTERED OFFICE/REGISTERED AGENT" FORM

This form is used for changing the registered office address and/or registered agent listed with the Office of the Secretary of State. Please read ALL of the directions before filling out this form. Line 1 Fill in the name of the entity exactly as it appears in the original organizing document or subsequent amendments. Line 2 The registered office address is the legal location for service of process or notice(s) sent to the entity. If you are using this form to change the registered office address, list the new address on this line. The registered office address must be a complete street address, or rural route AND rural box number. A post office box number is not acceptable. This MUST be a Minnesota address. Line 3 Registered Agents are required for foreign entities but optional for Minnesota entities. The registered agent accepts service of process or notice(s) sent to the entity. The registered agent must be a person residing in Minnesota, a Minnesota entity, or a foreign entity authorized to do business in this state. Do not list your entity name on this line because a entity may not act as its own agent. Sign the form Minnesota Statutes require that an officer or representative sign the form. Contact person Print the name and telephone number of the person who may be contacted if there are any questions about this filing.

FILE IN-PERSON OR MAIL TO: Minnesota Secretary of State - Business Services Retirement Systems of Minnesota Building 60 Empire Drive, Suite 100 St Paul, MN 55103 (Staffed 8:00 - 4:00, Monday - Friday, excluding holidays) To obtain a copy of a form you can go to our web site at www.sos.state.mn.us , or contact us between 9:00am to 4:00pm, Monday through Friday at (651) 296-2803 or toll free 1-877-551-6767.

All of the information on this form is public. Minnesota law requires certain information to be provided for this type of filing. If that information is not included, your document may be returned unfiled. This document can be made available in alternative formats, such as large print, Braille or audio tape, by calling (651)296-2803/voice. For a TTY/TTD (deaf and hard of hearing) communication, contact the Minnesota Relay Service at 1-800-627-3529 and ask them to place a call to (651)296-2803. The Secretary of State's Office does not discriminate on the basis of race, creed, color, sex, sexual orientation, national origin, age, marital status, disability, religion, reliance on public assistance or political opinions or affiliations in employment or the provision of service.

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