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Office of the Minnesota Secretary of State Foreign Corporation or Cooperative | Annual Renewal Minnesota Statutes, Section 5.34 Must be filed by December 31 Read the instructions before completing this form. Filing Fee for Renewal: $135 for expedited service in-person and online filings, $115 if submitted by mail Filing Fee for Reinstatement: $520 for expedited service in-person and online filings, $500 if submitted by mail 1. File Number: 3. Business Name: (Required) 2. Home Jurisdiction: 4. Alternate Name used in Minnesota, if any: 5. Registered Agent/ Registered Office Address in Minnesota : (Required) Agent Name MN Street Address (A PO Box by itself is not acceptable) City State Zip Code 6. Name and business address of C.E.O. (Chief Executive Officer): (Required) CEO Name Street Address 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: City State Zip Code 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 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 NOTICE: Failure to file this form by December 31 of this year will result in the revocation of this corporation without further notice from the Secretary of State, pursuant to Minnesota Statutes, section 303.17. American LegalNet, Inc. www.FormsWorkFlow.com Office of the Minnesota Secretary of State Foreign Business Corporation | Annual Renewal Minnesota Statutes, Section 5.34 Minnesota Business Snapshot To better serve Minnesotans, the Secretary of State's Office has created the "Minnesota Business Snapshot," a short and simple survey produced with the input of business owners, business organizations, non-profits, and researchers from across the state. These five questions will take less than three minutes to complete, and you may answer any or all of them. There is no penalty if you choose not to provide this information. However, the answers you do provide will create a useful pool of information for potential customers and inform the analysis of our quarterly "Minnesota Economic and Business Condition Reports". We do not independently verify the answers applicants provide. Again, this survey is voluntary and the answers are considered public data. Thank you. 1. (Select up to one) - How many Minnesota based full time employees (or FTE equivalents) does this entity currently have? 0-5 6-50 51-200 201-500 Over 500 2. (Select all that apply) - Does the owner or a member of the ownership group of this entity self-identify as a member of any of the following communities? Woman Member of a community of color Veteran Member of a disability community Member of an immigrant community 3. (Select up to one) - Using NAICS codes below, please select the code that best describes this entity. If you believe this entity falls into more than one category, please select the category that generates the majority of the entity's revenue. Agriculture, Forestry, Fishing and Hunting (Code 11) Mining (Code 21) Utilities (Code 22) Construction (Code 23) Manufacturing (Codes 31-33) Wholesale Trade (Code 42) Retail Trade (Codes 44-45) Transportation and Warehousing (Codes 48-49) Information (Code 51) Finance and Insurance (Code 52) Real Estate Rental and Leasing (Code 53) Professional, Scientific, and Technical Services (Code 54) Management of Companies and Enterprises (Code 55) Administrative and Support and Waste Management and Remediation Services (Code 56) Educational Services (Code 61) Health Care and Social Assistance (Code 62) Arts, Entertainment, and Recreation (Code 71) Accommodation and Food Services (Code 72) Other Services (except Public Administration) (Code 81) Public Administration (Code 92) (Select up to one) Is this entity a full time or part time endeavor for those primarily responsible for operating this entity? 4. Full time Part time 5. (Select up to one) - If applicable, what were this entity's gross revenues for the past year? $0 - $10,000 $10,001 - $50,000 $50,001 - $250,000 $250,001 - $1M American LegalNet, Inc. Over $1M www.FormsWorkFlow.com INSTRUCTIONS File your business document online by visiting our website at https://mblsportal.sos.state.mn.us/Business/Search. All foreign corporations, excluding nonprofits, governed under Minnesota Statutes, Chapter 303 are required to file an annual renewal once every calendar year. Filing this Annual Renewal does not satisfy any other legal requirement. If Minnesota statutes or rules require a filing with another office, you must submit that filing separately. If changes to the name or registered agent and office address are necessary, an amendment along with the annual renewal form and the applicable filing fee is required. Changes to the chief executive officer's name and address can be made once a year by filing the annual renewal form with our office. 1. File Number: Provide the file number issued by the Minnesota Secretary of State. 2. Home Jurisdiction: (Required) List the state or jurisdiction in which this organization is organized. 3. Business Name: (Required) Provide the name of the organization in the jurisdiction in which it is organized. 4. Alternate Name used in Minnesota, if any: List the Alternate Name used in Minnesota, if applicable. 5. Registered Agent, if any and Registered Office Address: (Required) If changes to the registered agent or registered office are necessary a "Notice of Change of Registered Office/Agent" form and an additional $50.00 filing fee is required. Submit the "Notice of Change of Registered Office/Agent form with the annual renewal for filing. 6. Name and Business Address of Chief Executive Officer: (Required) Fill in the name and complete business address of the Chief Executive Officer or other person who carries out the functions as C.E.O. of the corporation. 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,