Office of the Minnesota Secretary of State Foreign Limited Liability Partnership | Statement of Qualification Minnesota Statutes, Chapter 323A Read the instructions before completing this form. Filing Fee: $155 for expedited service in-person and online filings, $135 if by mail This Statement of Qualification has been approved pursuant to Minnesota Statutes, Chapter 323A. By filing this Statement of Qualification, the partnership certifies that it has complied with the organization laws in the jurisdiction of its organization. Note: A professional partnership governed under Chapter 319B must include an attachment with the following information: (This information is only required if this is a professional partnership.) 1. Statement that the Minnesota firm elects to operate and acknowledges that it is subject to Minnesota Statutes, Chapter 319B.01 to 319B.12. 2. List the professional service the partnership is authorized to provide under Minnesota Statutes, Chap. 319B, subd 19. 3. Statement that, to the extent it's generally applicable governing 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. A person who files a statement pursuant to this section shall promptly send a copy of the statement to every non-filing partner and to any other person named as a partner in the statement. 1. The legal name of this partnership in the Home Jurisdiction: (Required) 2. The alternate name under which the partnership will do business in Minnesota, if different than the legal name listed above: If the name is unavailable in Minnesota return the completed, approved and executed resolution found at the end of this form. 3. Home Jurisdiction: (Required) 4. List the address of the partnership's chief executive office: (Required) Street Address (A PO Box by itself is not acceptable) City State Zip 5. List an office address in Minnesota, if different than the chief executive office address: Street Address (A PO Box by itself is not acceptable) City State Zip 6. If there is no office address in Minnesota, list the name and address of the registered agent in Minnesota: Agent Name: Street Address (A PO Box by itself is not acceptable) 7. The effective date of this filing if different from the date of filing: 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 at Least Two Partners or of the Agent If you are signing as the agent for additional parties and the parties are not named in this document, and the additional parties' signatures are required by law, please list your name in the box followed by "and as agent for (insert names of other parties)" City MN State Zip American LegalNet, Inc. www.FormsWorkFlow.com Office of the Minnesota Secretary of State Foreign Limited Liability Partnership | Statement of Qualification Minnesota Statutes, Chapter 323A 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. RESOLUTION FOR USE OF ALTERNATE NAME IN MINNESOTA (Only to be completed if name is unavailable) WHEREAS, the name of this partnership is currently on file with the Secretary of State of Minnesota, and WHEREAS, the partnership has not obtained the use of this name through the consent or affidavit procedures permitted by Minnesota Statutes, Chapter 3232A, THEREFORE, BE IT RESOLVED, that this partnership shall use the name: (Alternate name must also include a partnership designation). This name meets all the requirements of Minnesota Statutes, Chapter 323A.1102, as its name in the State of Minnesota, for all purposes. Approved on Month/Day/Year by a vote of the Partners of: Proportion Partnership Name I certify that this is the actual text of the approved resolution. Signature of Authorized Person Date 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 American LegalNet, Inc. www.FormsWorkFlow.com Office of the Minnesota Secretary of State Foreign Limited Liability Partnership | Statement of Qualification Minnesota Statutes, Chapter 323A 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 sele