Notice Of Change Of Registered Office Form - Minnesota Secretary Of State

Notice Of Change Of Registered Office Form - Minnesota Secretary Of State - 1998

MINNESOTA SECRETARY OF STATE

NOTICE OF CHANGE OF REGISTERED OFFICE/

REGISTERED AGENT

Please read the instructions on the back before completing this form.

1. Entity Name:

____________________________________________________________________________________________________

2. Registered Office Address (No. & Street): List a complete street address or rural route and rural route box number. A post

office box is not acceptable.

____________________________________________________________________________________________________

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, 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 and Telephone Number of a Contact Person: ________________________________________( ______)_______________

please print legibly

Filing Fee: Minnesota Corporations, Cooperatives and Limited Liability Companies: $35.00.

Non-Minnesota Corporations: $50.00.

Make checks payable to Secretary of State

Return to: Minnesota Secretary of State

180 State Office Bldg.

100 Constitution Ave.

St. Paul, MN 55155-1299

(651)296-2803

03930275 Rev. 11/98

Notice Of Change Of Registered Office Form - Minnesota Secretary Of State - 1998