Form M-Ss1 - Annual Registration For Minnesota Business Corporations
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1Minnesota Secretary of State
Annual Registration for Minnesota
M-SS1
Business Corporations
File by Dec. 31, 2000
Do not send this form to the Department of Revenue.
All information on this form is available to the public. Read the instructions on the back before completing.
Information on lines 1 and 2 must match the information in your original articles of incorporation or subsequent
amendments. This form cannot be used to make any changes to your articles of incorporation. If there are any
changes to lines 1 or 2 of this form, you must amend your articles of incorporation separately. An amendment
form and $35 filing fee must be included with your annual registration. You may obtain the necessary forms by
calling the Office of the Secretary of State at 651-296-2803 or from our web site at
Print or type.
1
Full legal name of corporation
2
Registered office address (Street address/Route and box number; PO box not accepted)
City
State
Zip code
MN
3
Principal executive office address (Street address/Route and box number; PO box not accepted)
City
State
Zip code
4
5
State of incorporation
Corporate charter number
Minnesota
6
Name and complete business address of chief executive officer (or person who carries out functions of CEO)
Name
Business address
City
State
Zip code
7
Does this corporation own, lease or have any financial interest in agricultural land or land capable of being farmed?
Check one:
yes
no
8
Name of contact person
Daytime phone
(
)
Signature of authorized officer or representative
Date
If this form is filed by Dec. 31, 2000, there is no fee for filing the annual registration.
PENALTY—If you do not file this form each year, your corporation will lose its good standing and be required
to pay a $25 fee to regain good standing. If you do not file for three consecutive years, the corporation will be
dissolved under Minnesota law (M.S. 302A.821).
MAILING INSTRUCTIONS
IF NO FEE(S) are due,
IF FEE(S) are due,
RETURN ALL DOCUMENTS TO:
RETURN ALL DOCUMENTS AND FEES TO:
Secretary of State
Secretary of State
Records Processing Section
180 State Office Building
555 Park St., Suite 402
100 Constitutional Ave.
St. Paul, MN 55103-2141
St. Paul, MN 55155-1299
Stock No. 4000480
Rev. 9/99
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