And, a mailing address in Montana, if different:
________________________________________________________________________________________________________
City: _______________________________________________________ Zip Code: ____________________________________
Appointment of a Registered Agent is affirmation of the Registered Agent’s consent to serve as Registered Agent.
7. The name, office held, and business mailing address of the current officers. (If a person holds more than one office, please
indicate [i.e., President/Treasurer].) Add additional sheets if necessary.
________________________________________________________________________________________________________
Name
Office Held
Business Mailing Address
________________________________________________________________________________________________________
Name
Office Held
Business Mailing Address
________________________________________________________________________________________________________
Name
Office Held
Business Mailing Address
8. The names and usual business addresses of its current directors:
________________________________________________________________________________________________________
Name
Business Mailing Address
________________________________________________________________________________________________________
Name
Business Mailing Address
________________________________________________________________________________________________________
Name
Business Mailing Address
________________________________________________________________________________________________________
Name
Business Mailing Address
9. A description of the business the corporation is transacting: _______________________________________________________
________________________________________________________________________________________________________
10. 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 Presiding Officer of the Board of Directors, President, or other Officer
Date
___________________________________________________________
___________________________________________
Printed Name
Title
11. Daytime Contact: Phone _________________________________ Email ____________________________________________
45-Application_for_Amended_Certificate_of_Authority
sos.mt.gov/Business/Forms
Revised: 3/2017
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Form 28b - Application For Amended Certificate Of Authority Of Foreign Series Limited Liability Company 35-8-1007, Mca
Legal
Form 39034 - Application For Amended Certificate Of Authority For A Foreign Corporation - 2016
Legal
