Articles Of Termination Form - Minnesota Limited Liability Company Page 2

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INSTRUCTIONS
File your business document online by visiting our website at
This form is intended merely as a guide for filing and is not intended to cover all situations. Retain the original signed
copy of this document for your records and submit a legible photocopy for filing with the Office of the Secretary of
State.
Articles of Termination filed under Minnesota Statutes, sections 322B.816 or 322B.82 is used to terminate a
limited liability company that has accepted contributions and must have filed or be accompanied by a ‘Notice
of Dissolution’ filing.
1. Name of Limited Liability Company: (Required) List the company name on file with the Office of the Secretary
of State.
2. Select one of the following: (Required) Check the applicable statute that the Articles of Termination are being
filed under. If filing under Chapter 322B.816, provide the last date on which the notice was given.
3. Authorized Signature: (Required) Must be signed by someone authorized by the corporation or by an Authorized
Agent (The signing party must indicate on the document that they are acting as the agent of the person(s) whose
signature would be required and that they have been authorized to sign on behalf of that person(s).)
Email Address for Official Notices. This email address may be used to send annual renewal reminders and other
important notices that may require action or response. Check the box if you wish to have your email address excluded
from requests for bulk data, to the extent allowed by Minnesota law.
List a name and daytime telephone number of a person who can be contacted about this form.
Filing Fee: $55 for expedited service in-person and online filings, $35 if submitted by mail
Payable to the MN Secretary of State
Please submit all items together and mail to the address below:
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 a.m. – 4 p.m., Monday - Friday, excluding holidays)
Phone Lines: (9 a.m. - 4 p.m., M-F) Metro Area 651-296-2803; Greater MN 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.
LLCterminationafteracceptingcontributions6/1/2012

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