GARY C. DAHLE
Attorney at Law
2704 County Road 10
Mounds View, MN 55112

Phone 763-780-8390
Fax    763-780-1735

MINNESOTA
INCORPORATION QUESTIONNAIRE

Your Name: __________________________             Telephone No. ___________________

Address: __________________________________________________________________
 

When you have completed this questionnaire, please return it to Gary C. Dahle - Attorney at
Law, at the above address, together with:

          and


1.       Proposed name of the new corporation: ____________________________

         Alternate corporate name if your first choice is not available:

         __________________________________________________________

         Doing business as: _____________________________________

         If the business operates under any name other than its complete corporate name,
         a certificate of assumed name must be filed and published. A $25 filing fee will be
         payable to the Minnesota Secretary of State, and publication costs will be extra.
 

2.     Would you like the name the business is being operated under to be registered with:

        A. The State of Minnesota?     _____ yes      _____ no
        ($50 filing fee to be paid to the Secretary of State).

        B. The U.S. Office of Patents and Trademarks? _____ yes      _____ no
        ($245 filing fee to be paid to the U.S. Patent Office.
          Additional name search fees may also be necessary.)

        Creating a corporation, or operating a business under an assumed name does not by itself
        guarantee that the corporation will have the exclusive right to use the selected name.
        Various levels of protection are available by  registration of the business name as a
        trademark or service mark with the State of Minnesota, the U.S. Office of Patents and
        Trademarks, or both.
 

3.     Address of the registered office of the Corporation (cannot be a P.O. Box),
        and the name of its registered agent, (if any), at that address.

        Address: ________________________________________________________

        The registered office of the Corporation is required information.
 

         Agent:    ________________________________________________________

        The name of any registered agent is not required information.
 

4.     Name and address of each incorporator (only one incorporator is required).

         _______________________________________________________

         _______________________________________________________

        The incorporator is the person who signs the Articles of Incorporation, and
        whose name will appear in the public records in association with this corporation.
        If you want Gary C. Dahle - Attorney at Law, to be the incorporator,
        write in his name above.
 

5.     The aggregate number of shares that the corporation has authority to issue.

         ________________________________________________________

        The number of shares to be issued is a personal choice which will have little real
        significance for many corporations. However, the minimum number of shares required is
        one share, and you should authorize more than you plan to issue immediately; i.e.
        authorize 10,000 shares, but only issue 1,000 shares.

        You can authorize and issue both voting and nonvoting shares.
 

6.     The number of shares to be issued to each Shareholder:

         _______________________________________________________

         _______________________________________________________

         _______________________________________________________

        Name the shareholder and the number of shares to be issued to that shareholder.
 

7.     The consideration to be given in exchange for the shares, in money, property,
        or future services to be rendered to the corporation, by each shareholder.

         ________________________________________________________

         ________________________________________________________

         ________________________________________________________

        Name the shareholder and the amount and type of consideration to be paid by that
        shareholder to the corporation in exchange for his or her shares.

        Note: The initial capitalization of the corporation, or the amount initially paid to the
        corporation in exchange for the stock, could be important in the event that an injured
        person is damaged by an act of the corporation and seeks to recover from the
        corporation.
 

8.     Social Security Number(s) of the Shareholders:

        _______________________________________________________

        _______________________________________________________

        _______________________________________________________

        The Social Security Number(s) of the Shareholders will be used to make any
        S-corporation election, and the Social Security Number(s) of the officers of the
        corporation will also be required in order to obtain federal and Minnesota tax
        identification numbers.

        The Social Security Number(s) of such persons can also be provided at a later date, and
        are not needed to file the articles of incorporation.
 
 

9.     Will the shareholders be entering into a Buy and Sell Agreement?

         _____ yes      _____ no

         A Buy and Sell Agreement both restricts the persons to whom a shareholder may sell his
        or her shares, and creates a market for the shares should the shareholder desire to sell his
        or her shares. If a Buy and Sell Agreement is desired, an additional questionnaire will be
        provided to you.
 

10.    Person(s) to serve on the first Board of Directors (one or more).

         _______________________________________________________

         _______________________________________________________

         _______________________________________________________

         The business and affairs of a corporation are generally managed by or under the direction
        of a Board of Directors.

        Please note that in the event that a corporation fails to pay certain "trust" type taxes, such
        as withholding and sales taxes, individual directors or officers who have had the
        responsibility of filing tax returns and paying taxes on behalf of the corporation can be
        held personally liable for such unpaid taxes. Corporate officers may also be held
        personally liable for unpaid state and federal unemployment taxes under similar
        circumstances.

11.   Person(s) to serve as the first Officers (one or more).

         Chief Executive Officer (required): __________________________

         Chief Financial Officer (required):  __________________________

         The Officers execute and implement the decisions made by the Board of Directors.

         Officers of any corporation who perform services for the corporation are considered
         employees of the corporation, and all wages paid or payable to such officers are
         subject to state and federal unemployment taxes.

         S-corporation officers may also be subject to state and federal unemployment taxes on
         any bonuses or profit sharing distributions as well, which can be equal to such officer's
         proportionate share of corporate income, if proper dividend distribution procedures
         are not followed.
 

12.    Name, address, and telephone number of the corporation’s accountant:
 

         ________________________________________________________________
 

13.    Whom would you like to request the corporation’s federal tax identification number
         from the I.R.S.?

         The corporation’s accountant ______          Attorney Gary C. Dahle ________

         Highest number of employees expected in the next 12 months? ___________

         Estimated first date that wages will be paid? __________________________
 

14.     Do you want the corporation to be taxed as an S-Corporation? _____ yes     _____ no

         Taxation of S-corporation shareholders is similar, but not identical to, that of partners in a
         partnership.
 

15.     If you would like the corporation to be taxed as an S-Corporation, whom would you like
          to prepare the Sub-S election for filing with the I.R.S.?

          The corporation’s accountant ______           Gary C. Dahle - Attorney at Law ________

          If Gary C. Dahle - Attorney at Law prepares the election, it will be returned to a duly
         authorized corporate officer for signature, and to obtain the signature of the shareholders.
         The election should then be provided to the corporation’s tax accountant for filing
         with the IRS.
 

16.     Banking institution where funds will be deposited?

          _______________________________________________________

          _______________________________________________________
 
 

This MINNESOTA INCORPORATION QUESTIONNAIRE is copyrighted by Gary C. Dahle, 2002. All Rights Reserved.