Office of the Minnesota Secretary of State Notice of Change of

2. Entity Name: (Required)

Office of the Minnesota Secretary of State

Notice of Change of Registered Office/Registered Agent

State

Zip Code

3. Registered Office Address is Changed to:

Street Address (A post office box by itself is not acceptable) City

4. Registered A

gent(s) is Changed to:

If you do not wish to designate an agent, you must list "NONE" in this box. An entity

formed under the laws of

another jurisdiction must designate a registered agent in Minnesota. DO NOT LIST THE ENTITY NAME.

Signature of Authorized Pe

rson or Authorized Agent

Date

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?

Yes No

Minnesota Statutes, Chapter 5.36

Read the instructions before completing this form. Note: See instructions for filing fees.

This filing will amend only the Registered Office Address and/or the Registered Agent.

Note: Information provided when filing a business entity is public data and may be viewable online.

This includes but is not limited to all individual names and addresses.

5. If the business entity has changed their agent or the registered office address, this change was authorized by

resolution approved by the affirmative vote of a majority of the governing body of the business entity as required

Section 5.36, Subd. 3. If the agent has changed their name or their address, then a copy of the change has been sent to the

business entity or their legal representative as required by Section 5.36, Subd. 5. In compliance with Section 5.36, the

address of the registered office and the address of

the business office of the registered agent(s) are identical.

6. 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 requir

ed fields,

and that the information in this document is true and

correct and in compliance with the applicable ch

apter of Minnesota Statutes. I understand that b

y 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.

1. File Number:

Reset

INSTRUCTIONS

File your business document online by visiting our website at www.sos.mn.gov.

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: This form cannot be used for Domestic and Foreign Limited Partnerships or Limited Liability Partnerships.

Limited Partnerships must draft an amendment if they are changing the Agent's name, street and mailing address.

Limited Liability Partnerships must file a Statement of Amendment to make changes to the Registered Office and Agent.

1. List the File Number provided by the Minnesota

Secretary o

f State.

2. Fill in the name of the entity exactly as it appears in the original

organizing document or subsequent amendments.

A registered office address in Minnesota is required. List the complete street address or rural route and rural route box

number for the registered office address. A p

ost office box by

itself

is not acceptable.

4. The registered ag

ent accepts service of process or notice(s)

sent to the entity. The registered agent(s) must be a person

residing in Minnesota, a Minnesota entity, or a foreign entity authorized to do business in this state. Do not list your

entity

name on this line, because an entity may not act as its own agent. An entity formed under the laws of another

jurisdiction must designate a registered agent(s) in Minnesota.

5. Minnesota Statutes require that an officer, representativ

e, or authorized agen

t sign the form

. (The signing party must

indicat

e 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 em

ail 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 payable to the MN Secretary of State:

•

Minnesota Business Corporations, Minnesota Cooperatives, and Minnesota and Foreign Limited Liability

Companies:$55 for expedited service in-person and online filings, $35 if submitted by mail

•

Minnesota Nonprofit

Corporations: No fee is due unless you are adding, removing or changing the

agent, in which case $55 for expedited service in-person and online filings, $35 if submitted by mail

•

Foreign Corporations, Foreign Cooperatives, and Foreign Nonprofits: $70 for expedited service in-person

and online filings, $50 if submitted by mail

Please submit all items together and mail to the address below:

FILE IN-PERSON OR MAIL TO:

Minnesota Secretary of State - Business Services

First National Bank Building

332 Minnesota Street, Suite N201

Saint Paul, MN 55101

(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.

ChangeofRegisteredOfficeAgentRev.5/31/2024