Minnesota Administrative Rules

2860.9910 FORM FOR APPLICATION FOR REGISTRATION, ANNUAL REPORT, OR AMENDMENT OF REGISTRATION.

STATE OF MINNESOTA

DEPARTMENT OF COMMERCE

REGISTRATION AND LICENSING DIVISION

This is submitted for (check one only):

Application for Registration (Franchise)	( )
Annual Report	( )
Amendment of Registration of _	( )
(date)

(For use by the Department of Commerce)

File No.: _	Fee: $ _
Fee Paid: _	(To be completed by the applicant)
Receipt No.: _
Initial Review: _	Date of Application
Effective Date: _	_
Orders Issued: _	(To be completed by the applicant)
Examiners Initials: _

Name, telephone number, and address of person to whom questions concerning this statement should be directed.

Statutory Authority:

MS s 80C.18

Published Electronically:

September 14, 2007