Office of the Minnesota Secretary of State
Notice of Change of Registered Office/Registered Agent
Minnesota Statutes, Chapter 5.36
Read the instructions before completing this form. Note: See instructions for filing fees.
This filing will amend only the Registered Office Address and/or the Registered Agent.
2.
Registered Office Address is Changed to:
Street Address (A post office box by itself is not acceptable) City State
MN
Zip Code
3.
Registered
Agent(s) is Changed to:
If you do not wish to designate an agent, you must list "NONE" in this box. An entity formed under the laws of
another jurisdiction must designate a registered agent in Minnesota. DO NOT LIST THE ENTITY NAME.
4. If the business entity has changed their agent or the registered office address, this change was authorized by a
resolution approved by the affirmative vote of a majority of the governing body of the business entity as
required by Section 5.36, Subd. 3. If the agent has changed their name or their address, then a copy of the
change has been sent to the business entity or their legal representative as required by Section 5.36, Subd. 5. In
compliance with Section 5.36, the address of the registered office and the address of the business office of the
registered agent(s) are identical.
5. 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
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
1. Entity Name: (Required)
No
t
e: Information provided when filing a business entity is public data and may be viewable online.
This includes but is not limited to all individual names and addresses.
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Reset
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.
Note: This form cannot be used for Domestic and Foreign Limited Partnerships or Limited Liability Partnerships.
Limited Partnerships must draft an amendment if they are changing the Agent's name, street and mailing address.
Limited Liability Partnerships must file a Statement of Amendment to make changes to the Registered Office and Agent.
1. Fill in the name
of the entity exactly as it appears in the original organizing document or subsequent amendments.
2. A registered office address in Minnesota is required. List the complete street address or rural route and rural route
box number for the registered office address. A post office box by itself is not acceptable.
3.
The registered agent accepts service of process or notice(s) sent to the entity. The registered agent
(s) must be a person
residing in Minnesota, a Minnesota entity, or a foreign entity authorized to do business in this state. Do not list your
entity name on this line, because an entity may not act as its own agent. An entity formed under the laws of another
jurisdiction must designate a registered agent(s) in Minnesota.
4. Minnesota Statutes require that an officer, representative, or authorized agent sign the form. (The s
igning 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 payable to the MN Secretary of State:
Minnesota Business Corporations, Minnesota Cooperatives, and Minnesota and Foreign Limited Liability
Companies:$55 for expedited service in-person and online filings, $35 if submitted by mail
Minnesota Nonprofit
Corporations: No fee is due unless you are adding, removing or changing the
agent, in which case $55 for expedited service in-person and online filings, $35 if submitted by mail
Foreign Corporations, Foreign Cooperatives, and Foreign Nonprofits: $70 for expedited service in-person
and online filings, $50 if submitted by mail
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.
ChangeofRegisteredOfficeAgentRev.4/26/2019