This form is part of Minnesota Statutes Section 523.23.

See Subd. 3 Requirements, which in part said (when we made this entry): "To constitute a statutory short form power of attorney," as this phrase is used in this chapter the wording and content of the form in subdivision 1 must be duplicated exactly and with no modifications, parts First, Second, and Third must be properly completed, and the signature of the principal must be acknowledged."

Empowers another as attorney-in-fact to execute Forms 3, 4, and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934 for an officer or director of a company.

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