(September 29, 30, 2013)
OFFICE OF THE MINNESOTA SECRETARY OF STATE Assumed Name/Certificate of Assumed Name
Minnesota Statutes, Chapter 333
The filing of an assumed name does not provide a user with exclusive rights to that name. The filing is required for consumer protection in order to enable consumers to be able to identify the true owner of a business.
1. List the exact assumed name under which the business is or will be conducted:
Kwik Trip #432
2. Principal Place of Business:
1521 S. Broadway, New Ulm, MN 56073
3. List the name and complete street address of all persons conducting business under the above assumed Name OR if an entity, provide the legal corporate, LLC, or Limited Partnership name and registered office address:
Kwik Trip, Inc., 1626 Oak St., P.O. Box 2107, La Crosse, WI 54602-2107 - Registered Office: Mark W. Schneider, 1300 IDS Center, 80 S. 8th St., Minneapolis, MN 55402-2136
4. 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 required fields, and that the information in this document is true and correct and in compliance with the 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.
Donald P. Zietlow
Donald P. Zietlow, President
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 request for bulk data, to the extent allowed by Minnesota law.
List a name and daytime phone number of a person who can can contacted about this form:
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 Agricuture's Corporate Farm Program.