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STATE OF MONTANA

Prepare, sign, submit with an original signature and filing fee.

This is the minimum information required.

(This space for use by the Secretary of State only)

CERTIFICATE of AUTHORITY

of FOREIGN SERIES LIMITED LIABILITY COMPANY

APPLICATION

35-8-1003, MCA

LINDA McCULLOCH

MAIL:

Secretary of State

P.O. Box 202801

Helena, MT 59620-2801

PHONE:

(406) 444-3665

FAX:

(406) 444-3976

WEB SITE:

sos.mt.gov

MAKE CHECK PAYABLE TO SECRETARY OF STATE

Required Filing Fee: $70.00

Please Check One Box:

Plus $50.00 per Each Series Member

Foreign Series Limited Liability Company



 24 Hour Priority Handling check box and Add $20.00

Foreign Professional Series Limited Liability Company



 1 Hour Expedite Handling check box and Add $100.00

The name of the series limited liability company is:

_______________________________________________________________________________________________

Please Note: Must contain the words “limited liability company”, “limited co.” “or an abbreviation. If professional, must contain the words

"professional limited liability company”, or an abbreviation.

Attach list naming each Series Member(s) along with their individual Operating Agreements

It is organized under the laws of the state of: _______________ and hereby attaches a currently dated Certificate

of Existence from that state.

The date of its organization is

_______________ and the period of duration is: _________________

(Month/Day/Year)

The name and address of the registered office/agent in Montana:

Appointment of the Registered Agent is confirmation of the agent’s consent.

Name: _________________________________________________________________________________________

Street Address (required): _________________________________________________________________________

Mailing Address: ________________________________________________________________________________

City: ______________________________________________ State: MT Zip Code: __________________________

Signature of Registered Agent: _____________________________________________________________________

The business mailing address of the principal office is: __________________________________________________

City: _______________________________________

State: _______________

Zip Code: _________________

The Series LLC is managed by (check one) a

Manager or by its

Members.



Name and business address of current managing Managers or managing Members are (attach a list if necessary):

_______________________________________________________________________________________________

If a Professional Series Limited Liability Company, the services to be rendered:______________________________

10.

I, H

, under penalty of law, that the facts contained in this Application are true.

EREBY

WEAR AND

FFIRM

Applicant Signature: _______________________________________________ DATE: ________________________

Daytime Contact Phone: _______________________________ Email: _____________________________________

sos.mt.gov/Business/Forms

25B-Certificate_of_Authority_of_Foreign_Limited_Liability_Company_Series.doc Series

10/01/2013

Certificate Of Authority Of Foreign Series Limited Liability Company Form - Secretary Of State - 2013

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