Office of the Minnesota Secretary of State
Minnesota Nonprofit Corporation | Annual Renewal
Minnesota Statutes, Section 5.34
Must be filed by December 31
Read the instructions before completing this form.
1. File Number: 2. Governed Under the Laws of the State of: MINNESOTA
3. Corporate Na
me: (Requ
i
red)
4. Registered Office and Agent
Registered Office Address: (Required)
Street Address (A PO Box by itself is not acceptable) City
State Zip
Registered A
g
ent: (if applicable)
5. Na
m
e
and business address of the Corporate President: (Required)
Name
Street Address
City
State
Zip Code
Email Addre
ss 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
NOTICE: Failure to file this form by December 31 of this year will result in the dissolution of this
corporation without further notice from the Secretary of State, pursuant to Minnesota Statutes, section
317A.823.
Office of the Minnesota Secretary of State
Minnesota Nonprofit Corporation | Annual Renewal
Minnesota Statutes, Section 5.34
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 o f any of
the following communities?
Woman
Member of a community of color
Veteran
Member of a disability community
Member of an immigrant community
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
NonprofitrenewalRev.7/31/2024
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INSTRUCTIONS
File your business document online by visiting our website at mblsportal.sos.mn.gov/business/search.
All nonprofit corporations governed under Minnesota Statutes, Chapter 317A 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 registered agent and office address are necessary, an amendment form along with the
annual renewal form and applicable filing fee is required. Note: If you are amending the business or agent name,
submit that amendment form along with the applicable filing fee. If you are changing the address only, no fee is
required if you use the "Notice of Change of Registered Office/Registered Agent” form. Changes to the president’s
name and address can be made once a year by filing the annual renewal form with our office.
1. File Number: Provide the file number issued by the Minnesota Secretary of State.
2. Home Jurisdiction: This form is to be filed only if the state of incorporation is Minnesota.
3. Corporate Name: (Required) List the organization name on file with the Secretary of State's office.
4. Registered Office Address and Agent, if any: (Required) List the Registered Office Address and Agent, if any
on file with the Secretary of State’s office.
5. Name and Business Address of Corporate President: (Required) Fill in the name and complete business
address of the corporate president or person in charge of day to day activities, meetings, and/or who signs
documents on behalf of the corporation.
All of the information on this form is public. Minnesota law requires certain
information to be provid
ed 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.
Email Address for Official Notices. This email address may also 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.
Minnesota Business Snapshot. This information is a snapshot of data at the point of time this filing was made.
This information is voluntary and may be shared with other agencies or the public for data analysis.
There is no fee for filing the annual renewal. A nonprofit corporation that has been dissolved by our office for
failure to file an annual renewal, may retroactively reinstate its existence by filing the current year's renewal.
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
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
Reporting Business Ownership Information
The Corporate Transparency Act (CTA) goes into effect on January 1, 2024. The CTA requires many entities
created in or registered to do business in the United States to report information about their beneficial owners to
the Financial Crimes Enforcement Network (FinCEN). Go to fincen
.gov/boi to determine if the CTA applies to
your organization, what information you need to file, and when you need to file it.