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Form 05940646 - Non-Minnesota Limited Liability Partnership Qualification Chapter 323 - 1998

MINNESOTA SECRETARY OF STATE

NON-MINNESOTA LIMITED

LIABILITY PARTNERSHIP QUALIFICATION

CHAPTER 323

PLEASE TYPE OR PRINT IN BLACK INK.

YOU MUST ATTACH AN ORIGINAL CERTIFICATE OF GOOD STANDING OR STATUS ISSUED BY THE FILING OFFICER IN

THE STATE OR JURISDICTION IN WHICH THIS PARTNERSHIP IS DOMICILED.

Please read the instructions on the reverse side before completing. Fee: $135.

1. Name of limited liability partnership (hereafter referred to as “partnership”): __________________________________________

__________________________________________________________________________________________________________

2. Address of the partnership’s principal place of business:

__________________________________________________________________________________________________________

Complete Street Address or Rural Route and Rural Route Box Number

City

State

Zip Code

(P.O. Box is unacceptable)

3. If the address in item 2 is not in Minnesota, list the name and street address of a person or entity in Minnesota authorized to

act as the partnership’s agent for service of process:

__________________________________________________________________________________________________________

Name of Registered Agent

__________________________________________________________________________________________________________

Complete Street Address or Rural Route and Rural Route Box Number

City

State

Zip Code

(P.O. Box is unacceptable)

4. List the jurisdiction in which the limited liability partnership is registered: ___________________________________________

5. Does this partnership own, lease or have any interest in agricultural land or land capable of being farmed?

(Check One)

Yes ____

No ____.

6. The partnership is applying to initially obtain or renew limited liability partnership status.

7. The partnership acknowledges that limited liability partnership status will expire one year from the date of filing unless the

partnership files a proper renewal.

8. I certify that I am a partner authorized to sign this document on behalf of this partnership and I further certify that by signing

this document I am subject to the penalties of perjury as set forth in Minnesota Statutes, section 609.48 as if I had signed this

document under oath.

_______________________________________________________

Signature of a partner

_______________________________________________________

Print name and daytime telephone number

05940646 Rev. 11/98

Form 05940646 - Non-Minnesota Limited Liability Partnership Qualification Chapter 323 - 1998