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<br /> . <br /> OFFICE OF THE SECRETARY OF STATE <br /> 1992 ANNUAL CORPORATE REGISTRATION <br /> for a <br /> . MINNESOTA NON-PROFIT CORPORATION <br /> Minnesota Statute 317 A <br /> Effective August 1, 1989, all non-profit corporations are now required to file an annual registration once every calendar year. <br /> Please review the information on the label and read all directions before eompleting this form. <br /> A. Corporat& Charter Number 1. Ilems A through D to the left list information currently on file <br /> J-3 with the Office of the Secretary of the Stale. II the information <br /> in item B is no longer current, you must also submit an <br /> B. Corporate Namll amendment to the articles of incorporation along with the <br /> MIIINESOTA PU8UC INTEREST RESEARCH GRC $35.00 fee for filin9 the amendment. <br /> C. Registered Office Address 2. If the information in item(s) C and/or D is no longer current, <br /> 2512 DELAloIARE STR SE you must also submit either an amendment to the articles of <br /> MPlS MN 55.Q 14 incorporation Q[ the form entitled, "Notice of Change of <br /> Registered Office. Registered Agent." Tllere is a $35.00 fee <br /> D. RegisleredAgent for filing either of those documents. <br /> HEATHER CUS ICI( - . 3. Blank forms may be obtained by calling (612) 296-2803. <br /> Please read the following items and eheck the box which identifies the action you wish to take: <br /> 1. I wish to file this annual registration for the current year. The information listed in items A-D is accurate. 0 <br /> 2. I wish to file this annual registration for the current year along with an amendment to the articles of ineorporation. KJ <br /> I have enclosed the annual registration form, an amendment form and the $35.00 fee for filing the amendment. <br /> 3. I wish to file this annual registration for the eurrent year along with the ehange of registered office and/or agent. I 0 <br /> have enclosed this annual registration form, the form entitled "Notice of Change of Registered Offiee - Registered <br /> Agent" and the $35.00 fee for filing the ehange of registered office and/or agent. <br /> . <br /> I certify that I am authorized to execute this certifieate and I further certify that I understand that by signing this certifieate <br /> I am subject to the penalties of perjury as set forth in seetion 609.48 as if I had signed this certificate under oath. <br /> Name of Officer or Other Authori~ed Representative 01 Corporation Signature <br /> H\;'atner Cuslck <br /> (Ple~si!P[inl) <br /> Titleo/Office Date <br /> ~xecutlve Director 5/5/<;2 <br /> '. <br /> c <br /> This annual corporafe registration must be filed by December 31. Subsequent registrations are due by Deeember 31 of every <br /> year. A preprinted document will be sent to the registered office address on file with the Secretary of State's Office in January <br /> of the year for which the registration is due. <br /> There is no fee for filing the Annual Corporate Registration; however, failure to file the registration may result in the loss of <br /> corporate good standing, a $25.00 reinstatement fee, and the loss of the exelusive use of the eorporate name. <br /> Failure to file any registrations for three consecutive years will result in the statutory dissolution of the corporation. This type <br /> of dissolution may have legal and financial eonsequenees. You may wish to consult an attorney to discuss the alternatives. <br /> .ou have any questions regarding this registration, please eall this office at (612) 296-2803. <br /> Return this form to: Office of the Seeretary of State <br /> 180 State Office Building <br /> St. Paul, MN 55155 <br />