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Office of the Minnesota Secretary of State Foreign Corporation or Cooperative | Name Change Minnesota Statutes, Chapter 303 Read the instructions before completing this form. Filing Fee: $70 for expedited service in-person and online filings, $50 for mail 1. Name of Corporation in Home Jurisdiction: (Required) List the name of this company prior to filing this amendment 2. Alternate Name used in Minnesota , if applicable: If applicable, list the alternate name used in Minnesota prior to filing this amendment 3. Home Jurisdiction: 4. Corporation Name is changed to: (Required) List the name currently filed in the home jurisdiction 5. Alternate Name to be used in Minnesota, if applicable: Note: This is only required if the corporate name is unavailable in Minnesota or an appropriate entity designation is not provided. 6. This amendment has been approved pursuant to Minnesota Statutes, Chapter 303. By filing this name change, the corporation certifies that the name change has been filed and recorded in the corporation's home jurisdiction. If an alternate name is used, the company certifies that its board of directors has adopted and approved the alternate name for use in Minnesota. 7. I, the undersigned, certify that I am signing this document as the person whose signature is required, or as agent of the person(s) whose signature would be required who has authorized me to sign this document on his/her behalf, or in both capacities. I further certify that I have completed all required fields, and that the information in this document is true and correct and in compliance with the applicable chapter of Minnesota Statutes. I understand that by signing this document I am subject to the penalties of perjury as set forth in Section 609.48 as if I had signed this document under oath. Signature of Authorized Person or Authorized Agent Date Email Address for Official Notices Enter an email address to which the Secretary of State can forward official notices required by law and other notices: Check here to have your email address excluded from requests for bulk data, to the extent allowed by Minnesota law. List a name and daytime phone number of a person who can be contacted about this form: Contact Name Phone Number American LegalNet, Inc. www.FormsWorkFlow.com Office of the Minnesota Secretary of State Foreign Corporation | Name Change Minnesota Statutes, Chapter 303 Entities that own, lease, or have any financial interest in agricultural land or land capable of being farmed must register with the MN Dept. of Agriculture's Corporate Farm Program. Does this entity own, lease, or have any financial interest in agricultural land or land capable of being farmed? Yes No ForeigncorpnamechangetRev.7/15/2013 American LegalNet, Inc. www.FormsWorkFlow.com INSTRUCTIONS File your business document online by visiting our website at www.sos.state.mn.us. 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. 1. List the entity name in the home jurisdiction on file with this office. 2. List the alternate name used in Minnesota, if any. 3. List the state or country which this entity is organized. 4. List the new corporate name currently filed in the home jurisdiction. A preliminary name availability check may be done by accessing our Website at www.sos.state.mn.us. 5. If the new corporate name is unavailable or does not provide an appropriate entity designation required by Minnesota Statutes, then the corporation must provide an alternate name (including an entity designation), to be used in Minnesota. 6. The name change amendment must have been filed and recorded in the home jurisdiction prior to being filed with our office. 7. A signature of a person, authorized by the corporation to sign documents, or 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).) is required. 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: $70 for expedited service in-person and online filings, $50 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. American LegalNet, Inc. www.FormsWorkFlow.com