MINNESOTA SECRETARY OF STATE STATEMENT OF PARTNERSHIP AUTHORITY Minnesota Statutes, Chapter 323A Fee $135.00 READ THE INSTRUCTIONS BEFORE COMPLETING THIS FORM 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. Limited Liability Partnership Name used in Minnesota: (Required) 2. Provide the Partnership Name in Home Jurisdiction: 3. List the jurisdiction in which the partnership is formed: 4. Address of the partnership’s principal place of business: (Note: A PO Box is unacceptable) Complete Street Address or Rural Route and Rural Route Box Number City State Zip State Zip 5. List one office of partnership in Minnesota, if one exists: (Note: A PO Box is unacceptable) Complete Street Address or Rural Route and Rural Route Box Number City 6. Fully complete the section references by the letter A) below, OR fully complete the section references by the letter B) below. Then, complete the section referenced by the letter C) below. A) Provide full names and complete addresses of all partners — OR — Name of Partner and Address Name of Partner and Address Name of Partner and Address *NOTE: If needed, provide additional sheets listing the partners and their addresses. B) List the name and street address of a person or entity in Minnesota authorized to act as the partnership’s agent for service of process: (Note: A PO Box is unacceptable) Name of Registered Agent MN Complete Street Address or Rural Route and Rural Route Box Number City State Zip C) Provide all names of specific partners who are authorized to transfer partnership real estate. American LegalNet, Inc. www.FormsWorkFlow.com 7. Does this partnership own, lease or have any interest in agricultural land or land capable of being farmed? No (Check One) Yes 8. List the nature of any restrictions, expansions or other specific grants of authority on any partner's authority. *NOTE: If needed, list the restrictions on an additional sheet. 9. 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)” 10. List a name, daytime phone number, and e-mail address of a person who can be contacted about this form. Contact Name Daytime Phone Number Email Address American LegalNet, Inc. www.FormsWorkFlow.com INSTRUCTIONS Retain the original signed copy of this document for your records and submit a legible photocopy for filing with the Secretary of State. NOTE: This form is intended merely as a guide for filing and is not intended to cover all situations. 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. List the name the partnership in Minnesota with respect to which this amendment or cancellation is filed. 2. List the limited liability partnership name used in the Home Jurisdiction. 3. List the jurisdiction under the laws of which this partnership is formed. 4. List the address of the principal place of business of the partnership, regardless of its location. 5. If the partnership has an office in Minnesota, list the office’s address here. 6. For the next three items you should complete only section 6A or section 6B. You should then also complete section 6C. A. List the names and mailing addresses (including zip codes) of all of the partners here, OR B. List the name and Minnesota address of the person or legal entity the partnership is designating as its agent for service of process in Minnesota, AND C. List the names of the partners authorized to execute an instrument transferring real property held in the name of the partnership. 7. The partnership may own agricultural land, if the requirements of Minnesota Statutes section 500.24 are met. 8. If any partners have specific authority to enter into other transactions on behalf of the partnership, or any other matter, list them here. Also, if any partners have limitations on the authority to enter into other transactions on behalf of the partnership, or authority limitations as to any other matter, list them here. Please provide an attachment if there is not enough room to complete this section. 9. If this document is being filed on behalf of the partnership, it must be signed by at least two partners who are authorized to sign the registration 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).). Filing Fee: $135.00 Payable to the MN Secretary of State 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 8:00 - 4:00, Monday - Friday, excluding holidays) To obtain a copy of a form you can go to our web site at www.sos.state.mn.us , or contact us between 9:00am to 4:00pm, Monday through Friday at (651) 296-2803 or toll free 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. StatementOfPartnershipAuthorityRev.08-01-10 American LegalNet, Inc. www.FormsWorkFlow.com