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STATE OF MONTANA

This is the minimum information required.

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

CERTIFICATE of AUTHORITY

of FOREIGN 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

Required Filing Fee: $70.00

 24 Hour Priority Handling check box and Add $20.00

 1 Hour Expedite Handling check box and Add $100.00



Please Check One Box:

Foreign Limited Liability Company

Foreign Professional Limited Liability Company

1. The name of the 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.

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: ____________________________________________________________________

5. The business mailing address of the principal office is: _________________________________________________

City: _______________________________________State: _______________

Zip Code: _________________



6. The LLC is managed by (check one) a

Manager or by its

Members.

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

_____________________________________________________________________________________________

8. If a Professional Limited Liability Company, the services to be rendered: ___________________________________

9. 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

25-Certificate_of_Authority_of_Foreign_Limited_Liability_Company.doc

Revised: 10/01/2013

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

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