Application For Certificate Of Authority Of Foreign Profit Corporation - 2017 Page 2

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Actual Street Address or Rural Route Box Number in Montana: (Must be an actual geographic location.)
__________________________________________________________________________________________________________
City: ___________________________________________________________ Zip Code: _________________________________
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. A description of the business the corporation intends to transact: ___________________________________________________
8. The name, office held, and business mailing address of the current officer(s). (If a person holds more than one office please
indicate, i.e., President/Treasurer.) Add additional sheets as necessary.
__________________________________________________________________________________________________________
Name
Office Held
Business Mailing Address
_________________________________________________________________________________________________________
Name
Office Held
Business Mailing Address
_________________________________________________________________________________________________________
Name
Office Held
Business Mailing Address
9. The names and business mailing addresses of the current directors. Add additional sheets as necessary.
_________________________________________________________________________________________________________
Name
Business Mailing Address
_________________________________________________________________________________________________________
Name
Business Mailing Address
_________________________________________________________________________________________________________
Name
Business Mailing Address
_________________________________________________________________________________________________________
Name
Business Mailing Address
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
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 _____________________________________________
44-Foreign_Profit_Corporation_Certificate_of_Authority
sos.mt.gov/Business/Forms
Revised: 3/2017

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