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STATE OF MONTANA

This is the minimum information required

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

REGISTRATION of CORPORATE NAME

of FOREIGN PROFIT CORPORATION

APPLICATION

35-1-311, 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: $10.00

 24 Hour Priority Handling check box & Add $20.00

 1 Hour Expedite Handling check box & Add $100.00

For the purpose of registering its corporate name with the State of Montana, the undersigned foreign corporation organized

under the laws of any state, territory or country submits the following statements of fact to the Secretary of State:

1. The exact name of the corporation is: ______________________________________________________________________

A profit corporation must contain "corporation," "company," "incorporated," "limited," or an abbreviation of such.

2. It is incorporated under the laws of: _______________________________________________________________________

3. The date of incorporation is: _________________________

(Date)

4. The business mailing address of its principal office is:__________________________________________________________

___________________________________________

______________________________

_______________________

City or town

State

Zip

5. The description of the business:___________________________________________________________________________

6. It submits an original Certificate of Existence currently signed and dated (within 6 months) by the proper official of the state,

territory or country under the laws of which it is incorporated.

7. “I, HEREBY SWEAR AND AFFIRM, under penalty of law, that the facts contained in this document are true.”

________________________________________________________________

_________________________________

Signature of Officer or Chairman of the Board

Date

_____________________________________________

___________________________________________________

Printed Name

Title

Contact Information: Phone _____________________________________

Email _________________________________

NOTE:

This registration does not authorize the foreign corporation to transact business in the State of Montana. This is only

a name registration which expires on December 31 of each year. Renewal of the name registration can be processed

between October 1 and December 31. Forms are available for this purpose.

(35-1-1026, MCA

35-2-820,

MCA)

Remit an additional $5.00 along with a written request if a formal certificate is desired.

A copy of the application should be retained in the corporation's records.

sos.mt.gov/Business/Forms

49-Registration_of_Corporate_Name_of_Foreign_Corporation.doc

Revised: 10/1/2011

Registration Of Corporate Name Of Foreign Profit Corporation Application - Montana Secretary Of State

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