Office of the Minnesota Secretary of State Foreign Corporation or Cooperative | Certificate of Authority to Transact Business in Minnesota Minnesota Statutes, 1. The legal name of this company in the Home Jurisdiction: (Required) 2. The alternate name under which the company will do business in Minnesota, if different than the legal name listed above: 3. Home Jurisdiction: (Required) 4. The name and address of the registered agent and registered office in the State of Minnesota: (Required) Full Name of Registered Agent MN Street Address City State Zip Minnesota Statutes, 5. 6. This company is a: (check one) Nonprofit Entity For-Profit Entity 7. Check this box if this company is a Cooperative: 8. 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 President, Vice-President, Sec’y, Asst. Sec’y or Authorized Agent Date 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. American LegalNet, Inc. www.FormsWorkFlow.com Office of the Minnesota Secretary of State Foreign Corporation or Cooperative | Certificate of Authority to Transact Business in Minnesota Contact Name Phone Number American LegalNet, Inc. www.FormsWorkFlow.com 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. In order to transact business in this state a Certificate of Authority is required; however, a foreign corporation or cooperative whose certificate of authority has been revoked must file an application for reinstatement with this office. If a reinstatement application is not filed, the Certificate of Authority is not considered valid. 1. List the legal name of the company in the state or country of formation. If that name is not available in Minnesota or that name does not meet the legal requirements of Minnesota law, you must provide an alternate name to be used in Minnesota. A preliminary name availability check may be done by accessing our website at www.sos.state.mn.us. 2. List the alternate name that will be used in Minnesota, if any. Cooperatives or Nonprofits are not required to have an entity designation in their name. If you use an alternate name, the company is certifying that the board of directors has approved the alternate name to be used in Minnesota. 3. List the state or jurisdiction in which this organization is organized. 4. List the name of the registered agent and the registered office in Minnesota. The corporation is required to have an agent. The agent may be an individual or a corporation validly registered in Minnesota. The agent must be located at the registered office address and the complete street or rural route address in Minnesota must be listed. Service of process from this office will be sent to the registered agent. 5. Check Nonprofit only if you are a nonprofit corporation. Check For-Profit in all other cases. 6. Check this box if this is a cooperative. 7. The application for registration must be signed by the President, Vice-President, Secretary, Assistant Secretary, 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).) 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. Please submit all items together and mail to the address below: 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