Application For Certificate Of Authority Of Foreign Limited Liability Company Form Page 2
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25. The business mailing address of the principal office: _______________________________________________________________
City: ____________________________________________State: ________________________ Zip Code: ____________________
6. The LLC is managed by (check one):
Manager(s)
Members.
7. Names and business mailing addresses of current managing Managers or managing Members are (attach a list if necessary):
__________________________________________________________________________________________________________
Name
Business Mailing Address
__________________________________________________________________________________________________________
Name
Business Mailing Address
__________________________________________________________________________________________________________
Name
Business Mailing Address
8. If a Professional Limited Liability Company, the services to be rendered: ______________________________________________
__________________________________________________________________________________________________________
9. I, HEREBY SWEAR AND/OR AFFIRM, under penalty of law, including criminal prosecution, that the facts contained in this
document are true and that this entity has complied with the organizational laws in the jurisdiction in which it is organized and
that it exists in that jurisdiction.
___________________________________________________________________
____________________________________
Signature of Managing Member/Managing Manager
Date
____________________________________________________________
___________________________________________
Printed Name
Title
10. Daytime Contact: Phone _________________________________ Email _____________________________________________
25A-Certificate_of_Authority_of_Foreign_Limited_Liability_Company
sos.mt.gov/Business/Forms
Revised: 4/2017
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