Montana Limited Liability Company Annual Report Form
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1
2MONTANA LIMITED LIABILITY
Prepare, sign, submit with an original signature and filing fee.
COMPANY ANNUAL REPORT
This is the minimum information required
(This space for Secretary of State use only)
:
BRAD JOHNSON
MAIL
Secretary of State
P.O. Box 202802
Helena Montana 59620-2802
PHONE:
(406)444-3665
FAX:
(406)444-3976
WEB SITE:
sos.mt.gov
MUST BE RETURNED IN ORDER FOR YOUR LIMITED LIABILITY
th
Filing Fee on or before April 15
: $15.00
COMPANY TO REMAIN ACTIVE AND IN GOOD
th
After April 15
: $30.00
STANDING AND PREVENT INVOLUNTARY
DISSOLUTION/REVOCATION PER 35-8-208, MCA
24 Hour Priority Filing Add $20.00
1 Hour Expedite Filing Add $100.00
To help you determine what information is on file with this office, please call the above phone number or use our
business entity search at
Exact Name of Limited Liability Company:
Registered Agent Information.
The name and address of the Registered Agent/Office in Montana:
Name of Registered Agent:
Phone (Optional):
E-Mail Address (Optional):
Street Address:
City:
MT Zip:
(or Physical Location)
Mailing Address/PO Box*:
City:
MT Zip:
*Complete if mailing address is different from street address or physical location and both addresses must be in Montana.
Signature of New Registered Agent (required if changed):
1. State of Organization:
2. Address of Principal Office in state of organization:
3. Limited liability company is managed by:
Managers or
Members. Please check either box. (This information
must agree with our records).
4. Names and addresses (street name and number) of Managers or Members: (To remove managers or members see
opposite page).
S:\SHARE\Ely\BSB\Forms\llc\domestic\18-Domestic_Limited_Liability_Company_Annual_Report.doc Revised 11/24/2003
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