Office of the Minnesota Secretary of State
Limited Liability Company | Annual Renewal
Minnesota Statutes, Section 5.34
Must be filed by December 31
Read the instructions before completing this form.
Current Information on File: (If changes are needed, see instructions for further details.)
1. File Num
b
er:
2.
Hom
e
Jurisdiction:
3. Business Na
me: (Required)
4.
Alternate Name used in Minnesota, if any: (Foreign Limited Liabilit
y Companies Only)
5. Registered Agent and Office Address: (Required)
City
State
Zip
Agen
t’s Name: (if applicab
le)
6. Principal Executive Office Address: (Required)
Street Address (A PO Box by itself is not acceptable)
City
State
Z
Zip
7. Na
m
e and business address of
m
a
nag
e
r
or other person exerci
sing the principal functions of the chief manager of the
limited liability company: (Required)
Name
Street Address City State Zip
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
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 termination or revocation of this limited
liability company without further notice from the Secretary of State, pursuant to Minnesota Statutes, section 322B.960 or
322C.0705.
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.
Street Address (A PO Box by itself is not acceptable)
If this filing is governed under Minnesota Statutes 322B, I certify that this Limited Liability Company has not yet
elected to come under Minnesota Statutes 322C in its operating agreement.
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Llcdomestic&foreignrenewalRev.8/12/2015
INSTRUCTIONS
File your business document online by visiting our website at www.sos.state.mn.us.
All limited liability companies governed under Minnesota Statutes, Chapter 322B or 322C 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 form along with the annual
renewal form and applicable filing fee is required. Changes to the principal executive office address and manager’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: (Foreign Limited Liability Companies Only) List the Alternate Name used
in Minnesota, if applicable.
5. Registered Agent, if any and Registered Office Address: (Required) List the current registered agent, if any and
registered office address.
6. Principal Executive Office Address: (Required) A complete street address or rural route and rural route box number
is required. A post office box alone is not acceptable.
7. Name and Business Address of Manager: (Required) Fill in the name and complete business address of the manager
or other person exercising the principal functions of the chief manager of the limited liability company.
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.
There is no fee for filing the annual renewal if the entity is active and in good standing. An entity that has been dissolved by
our office for failure to file an annual renewal, may retroactively reinstate its existence by filing the current year's renewal
and paying a $25 fee if submitted by mail, $45 for expedited service in-person and online filings.
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.