Fill and Sign the Minnesota Minnesota Articles of Incorporation for Domestic Nonprofit Corporation Form

Office of the Minnesota Secretary of State Minnesota Nonprofit Corporation | Articles of Incorporation Minnesota Statutes, Chapter 317A Read the instructions before completing this form. Filing Fee: $90 for expedited service in-person and online filings, $70 if submitted by mail A nonprofit corporation that wishes to apply for tax exempt status under 501(c)(3) to the Internal Revenue Service (IRS) cannot use this form for its articles due to the fact that the IRS has additional language requirements. See the instructions for further information. Note: A professional corporation governed under Chapter 319B must include an attachment with the following information: (This information is only required if this is a professional corporation.) 1. Statement that the Minnesota firm elects to operate and acknowledges that it is subject to Minnesota Statutes, Chapter 319B.01 to 319B.12. 2. List the professional service the corporation is authorized to provide under Minnesota Statutes, Chapter 319B, subd 19. The undersigned incorporator(s), in order to form a Minnesota Nonprofit Corporation under Minnesota Statutes, Chapter 317A adopt the following: Article I – Name of Corporation (Required) Article II – Registered Office and Agent (A Registered Office Address is Required) Street Address (A PO Box by itself is not acceptable) City State Zip The Registered Agent at the above address is: Article III – Incorporators (Required) 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 t he 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. Incorporator’s Name Street Address City State Zip Signature Date Incorporator’s Name Street Address City State Zip Signature Date Email Address for Official Notices Enter an email address to which the Secretary of State can forw ard official notices required by law and other notices: Check here to have your email address excluded from requests fo r bulk data, to the extent allowed by Minnesota law. Office of the Minnesota Secretary of State Minnesota Nonprofit Corporation | Articles of Incorporation Minnesota Statutes, Chapter 317A List a name and daytime phone number of a person who can be contacted about this form: Contact Name 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 Agri culture’s Corporate Farm Program. 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 of 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) P hone Number Office of the Minnesota Secretary of State Minnesota Nonprofit Corporation | Articles of Incorporation Minnesota Statutes, Chapter 317A 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 NonprofitAfticlesofIn corporationRev.9/26/2016 INSTRUCTIONS File your business document online by visiting our website at www.sos.state.mn.us. This form is intended merely as a guide for filing and is not i ntended to cover all situations. Retain the original signed co py of this document for your records and submit a legible photocop y for filing with the Office of the Secretary of State. A nonprofit corporation that wishes to apply for tax exempt sta tus 501(c)(3) to the Internal Revenue Service (IRS), should not use this form for its articles due to the fact that the IRS has additional language requirements . Additional information on the language requi rements can be obtained from IRS publication 557 at http://www.irs.gov/charities or by calling 1-800-829-1040. A sample set of articles of inco rporation for a charitable organization with this required language is available in PDF for mat from the Minnesota Council of Nonprofits (MCN) at http://www.minnesotanonprofits.org/nonprofit-resources/start-a- nonprofit/samplearticles.pdf. After combining the IRS language with the requirements on the front of this form (such as by using the MCN sample form), submit the articles for filing to this office. Once the articles have been filed and returned to you, your organization’s application for tax exempt status can be sent to the IRS. You may wish to consult with an accountant or attorney to verify if your organization needs to file additional information with the IRS for tax exempt status. Only Professional Corporations governed under Chapter 319B must include a statement that the MN firm elects to operate and acknowledges that it is subject to Minneosta Statutes, Chapter 319B.01 to 319B.12, and list the professional service under Minnesota Statutes , Chapter 319B.02, subdivision 19 , the corporation is authorized to provide. Article I – Name: (Required) List the exact corporate name. A preliminary name availabilit y check may be done by accessing our website at www.sos.state.mn.us . Article II – Registered Office and Agent (A Registered Office Address is Required) 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 post office box by itself is not acceptable. If you have a registered agent, list the full name of the agent located a t the registered office address. An Agent is not required. Article III – Incorporators: (Required) Only one incorporator is required. An incorporator must be an individual 18 years of age or older. List the name and complete address for each incorporator. A signature is required for each incorporator or by an Authorized Agent (The signing party must indicate on the document that they are actin g 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).) List the incorporators on an additional sheet if there are m ore than two incorporators. Email Address for Official Notices. This email address may be used to send annual renewal reminde rs 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. Filing Fee: $90 for expedited service in-person and online filings, $70 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 f orm 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 docum ent 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 Ser vice 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.