Office of the Minnesota Secretary of State Minnesota Nonprofit Corporation | Election to Chapter 317A Minnesota Statutes, Chapter 317A Read the instructions before completing this form. Filing Fee: $55 for expedited service in-person, $35 if submitted by mail 1. Name of Corporation: (Required) 2. I, the undersigned representative of the above corporation which is subject to the provisions of Minnesota Statutes, Chapter: ("X" appropriate chapter) (Required) 315 300 309 certify that the resolution set forth below was adopted either at a duly held meeting of the members, or of the board of directors if members have no voting rights, or by unanimous written authorization pursuant to law. 3. It was resolved that the above corporation elects to be governed by the provisions of Minnesota Statutes, Chapter 317A and accepts all of the duties and responsibilities set forth by that chapter. It was further resolved that all corporate articles currently in effect that are prohibited by or inconsistent with Minnesota Statutes 317A are eliminated by the resolution and that new corporate articles that are required or allowed under Minnesota Statutes 317A are enacted as set forth below. (Note, if your articles do not designate a registered office with a complete street address, you must amend your articles to do so in the space below.) 4. It was finally resolved that the articles of the above corporation be amended to read as follows: ARTICLE (NOTE: If you previously filed with the county recorder, please submit certified copies of all corporate documents on file with the county recorder along with this election.) 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 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. American LegalNet, Inc. www.FormsWorkFlow.com Date Office of the Minnesota Secretary of State Minnesota Nonprofit Corporation | Election to Chapter 317A Minnesota Statutes, Chapter 317A 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 American LegalNet, Inc. www.FormsWorkFlow.com ElectionRev.8/19/2016 INSTRUCTIONS 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: If you previously filed with the county recorder, please submit certified copies of all corporate documents on file with the county recorder along with this election. 1. List the entity name currently on file with the Office of the Secretary of State or at the County. 2. Check the box for the applicable statute this entity is currently organized under. 3. State any amendments in the box provided. Please provide an attachment if there is not enough room to complete this section. If you are changing your entity name, a preliminary name availability check may be done by accessing our Website at www.sos.state.mn.us. 4. Signed by an authorized person or by 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).) 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: $55 for expedited service in-person, $35 if submitted by mail Payable to the MN Secretary of State 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. American LegalNet, Inc. www.FormsWorkFlow.com