Office of the Minnesota Secretary of State Minnesota Limited Partnership | Annual Renewal Minnesota Statutes, Section 5.34 Must be filed by December 31 Read the instructions before completing this form. 1. File Number: 3. Partnership Name: (Required) 4. Registered Agent & Registered Office Address: (Required) Agent's Name Street Zip 2. Home Jurisdiction: MINNESOTA City State If different from above, list the mailing address for Agent: Street 5. Is the Agent for Service an Individual? (Required) Yes No City State Zip If you checked "No", provide the Name, Street and Mailing Address, and Telephone Number of an individual who may be contacted for purposes other than service of process with respect to the limited partnership: Individual Name: Street If different from above, list the mailing address of the individual listed: Street 6. Designated Office Address: (Required) Street City If different from above, the mailing address of the Designated Office: Street City State Zip Phone: City State Zip City State Zip State Zip NOTICE: Failure to file this form by December 31 of this year will result in the administrative dissolution of this limited partnership without further notice from the Secretary of State, pursuant to Minnesota Statutes, section 321.0809. American LegalNet, Inc. www.FormsWorkFlow.com Office of the Minnesota Secretary of State Minnesota Limited Partnership | Annual Renewal Minnesota Statutes, Section 5.34 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? No Yes 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 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 American LegalNet, Inc. www.FormsWorkFlow.com Office of the Minnesota Secretary of State Minnesota Limited Partnership | Annual Renewal Minnesota Statutes, Section 5.34 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 select the category that generates the majority of the entity's revenue. Agriculture, Forestry, Fishing and Hunting (Code 11) Mining (Code 21) Utilities (Code 22) Construction (Code 23) Manufacturing (Codes 31-33) Wholesale Trade (Code 42) Retail Trade (Codes 44-45) Transportation and Warehousing (Codes 48-49) Information (Code 51) Finance and Insurance (Code 52) Real Estate Rental and Leasing (Code 53) Professional, Scientific, and Technical Services (Code 54) Management of Companies and Enterprises (Code 55) Administrative and Support and Waste Management and Remediation Services (Code 56) Educational Services (Code 61) Health Care and Social Assistance (Code 62) Arts, Entertainment, and Recreation (Code 71) Accommodation and Food Services (Code 72) Other Services (except Public Administration) (Code 81) Public Administration (Code 92) 4. (Select up to one) Is this entity a full time or part time endeavor for those primarily responsible for operating this entity? Full time Part time 5. (Select up to one) - If applicable, what were this entity's gross revenues for the past year? $0 - $10,000 $10,001 - $50,000 $50,001 - $250,000 $250,001 - $1M Over $1M MinnesotalimitedpartnershiprenewalRev3/21/2017 American LegalNet, Inc. www.FormsWorkFlow.com INSTRUCTIONS File your business document online by visiting our website at http://mblsportal.sos.state.mn.us/Business/Search. All limited partnerships governed under Minnesota Statutes, Chapter 321 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 address are necessary, an amendment along with the annual renewal form and the applicable filing fee is required. 1. File Number: Provide the file number issued by the Minnesota Secretay of State 2. Home Jurisdiction: This form is to be filed only if the state of incorporation is Minnesota. 3. Partnership Name: (Required) List the partnership name on file with the Secretary of State's office. 4. Registered Agent, Registered Office and Mailing Address: (Required) List the agent and registered office address in Minnesota. 5. Is the Agent for Service an Individual? (Required if an agent is listed) Check Yes or No accordingly. If you checked "No", provide the name, complete street address (a PO Box is not acceptable), mailing address (if different then the street address), and phone number of an individual who may be contacted for purposes other than service of process with respect to the limited partnership. 6. Designated Office Address: (Required) List the designated office and mailing address. Email Address for Official Notices. This email address may