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Form Flc-2 - Application For Amended Certificate Of Authority Of Foreign Limited Liability Company

Prepare, sign and submit an ORIGINAL AND COPY with fee.

STATE OF MONTANA

This is the minimum information required.

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

APPLICATION for AMENDED

CERTIFICATE of AUTHORITY

of FOREIGN LIMITED

LIABILITY COMPANY

(35-8-1003, MCA)

MAIL:

BOB BROWN

Secretary of State

P.O. Box 202801

Helena, MT 59620-2801

Form: FLC-2

PHONE:

(406)444-3665

Filing Fee: $15.00

FAX:

(406)444-3976

* *

WEB SITE:

Priority Filing Add $20.00

For the purpose of amending its original application for certificate of authority with the State of Montana to transact business

or conduct affairs in Montana, according to 35-8-1003 MCA, the undersigned submits the following statements of fact to the

Secretary of State and attaches a Certificate of Existence duly certified and issued under a current date by the Secretary

of State of the State of its jurisdiction with the Great Seal affixed.

1. A certificate of authority was issued to the LLC by the Secretary of State of Montana on

_____________, 20_______, authorizing it to transact business or conduct affairs in Montana

under the current name of: __________________________________________________________

2. The LLC name has been changed to: ____________________________________________

(name must contain Limited Liability Company, Limited Company or Professional Limited Liability Company or an abbreviated of such)

3. Its period of duration has changed from __________________to_______________________

4. Its state or country of jurisdiction has changed from _____________to_________________

WARNING

"PENALTIES IMPOSED UPON MEMBERS AND MANAGERS. The execution o fany document required to be filed

with the Secretary of State constitutes an affirmation, under the penalties of false swearing, by each person

executing the document that the facts stated therein are true." (Section 35-1-428, MCA)

___________________________________________________

Signature of Manager/Member

Date

Please be advised that the Business Services Bureau of the Montana Secretary of State will

process your business documents within 10 working days of initial receipt. During this

period if it is determined that your document does not meet statutory requirements, a

letter outlining the deficiencies will be returned to the original submitter. If the document

is complete and correct, the document will be filed and an acknowledgment copy showing

completion returned to the original submitter.

s:\forms\flc-2

Revised:01/02/2001

Form Flc-2 - Application For Amended Certificate Of Authority Of Foreign Limited Liability Company

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