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AFFIDAVIT OF EXEMPTION FOR CERTAIN CORPORATE. Certain business owners who meet the statutory requirements may elect to exclude themselves from workers' compensation insurance coverage, including:.Form Name, AFFIDAVIT OF EXEMPTION FOR CERTAIN CORPORATE OFFICERS OR DIRECTORS. 00 (fee set in Minnesota Statute § 326B. We are a corporation and its officers have exercised their right of exemption per c. Funding Disclosure Reports. WHO MUST REPORT: 501(c)(3) organizations required to register in New York State pursuant to Executive Law §172. Procedures for exempt organizations that terminate their existence. Applicant may also be required to complete an affidavit to qualify for an exemption under certain situations. How do I change the officers, directors, members or managers of a corporation or limited liability company on your records?