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.
INSTRUCTIONS
File your business document online by visiting our website at www.sos.state.mn.us.
1. List the entity name in the home jurisdiction on file with this office.
2
. List the alternate na
me used in Minnesota, if any.
Complete as many amendment options as apply. Complete an option only
if you are changing the information related to that option.
3.
If a name change has been filed and recorded in the company's home jurisdiction, list the exact legal name of the company.
6.
The registered office address must be a Minnesota address and must be completed with a street address or rural route and rural route
box number, city, state and zip code. A P.O. Box is not acceptable.
7. A foreign limited liability company is required to have an registered agent. If you are changing the registered agent, list
the full name of the agent who is located at the registered office address.
10.
This information is only required if this Foreign firm wishes
to elect to be a professional organization. You must include a
statement that the foreign firm elects to operate and acknowled
ges that it is subject to Minnesota Statutes, Chapter 319B.01 to 319B.12,
and list the professional service under Minnesota Statutes, Chapter 319B.02, subdivision 19, the organizatio
n is authorized to
provide.
Also include a statement that, to the extent it's generally applicable governin
g law conflicts or differs from those sections, the firm has
made the necessary changes to the agreements and other documents controlling its structure, governance, operations and internal affairs
so as to comply with those sections.
11.
Place a check in the box if this Foreign firm wish
es to rescind its election as a p
rofessional organization under Minnesota Statutes
319B.01 to 319B.12.
12.
A signature of a person authorized by the LLC to sign docu
ments 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: $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
First National Bank Building
332 Minnesota Street, Suite N201
Saint Paul, MN 55101
(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.
8.
The principal place of business address must be a complete street address. A P.O. Box is not acceptable.
9.
The home address must be a complete street address in the jurisdiction of formation, if required by home jurisdiction.
A P.O. Box is not acceptable.
4.
If the name of the company in its home jurisdication is not available to be used in Minnesota or the name does not meet the legal
requirements of Minnesota law, you must provide an alternate name to be used in Minnesota. An alternate name may be chosen even if
the legal name complieswith Minnesota law. The name must include the words or abbreviations Limited Liability Company, LLC,
Professional Limited Liability Company or PLC and cannot contain the words “corporation” or “incorporated” or their abbreviations.
A preliminary name availability check may be done by accessing our website at www.sos.state.mn.us. Complete item 4 if you are
changing the alternate name. Please list "None" if you are rescinding an alternate name.
5.
If the jurisdication under the laws of which the LLC is g
overned is changing, insert the name of the new governing jurisdication here.
