Montana Corporation Annual Report Form

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MONTANA CORPORATION ANNUAL REPORT
Prepare, sign, submit with an original signature and filing fee.
This is the minimum information required.
(This space for use by the Secretary of State only)
:
BRAD JOHNSON
MAIL
Secretary of State
P.O. Box 202802
Helena, MT 59620-2802
PHONE:
(406)444-3665
FAX:
(406)444-3976
WEB SITE:
sos.mt.gov
MUST BE RETURNED IN ORDER FOR YOUR CORPORATION
TO REMAIN ACTIVE AND IN GOOD STANDING AND PREVENT
INVOLUNTARY DISSOLUTION/REVOCATION PER 35-1-1104, MCA,
th
AS A PROFIT CORPORATION; 35-2-904, MCA, AS A NONPROFIT
Filing Fee on or before April 15
: $15.00
th
CORPORATION; AND 35-4-209, AS A PROFESSIONAL SERVICE
After April 15
: $30.00
CORPORATION.
1 Hour Expedite Filing Add $100.00
24 Hour Priority Filing Add $20.00
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 Corporation:
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 Incorporation:
2. Address of Principal Office in state of incorporation:
3. Brief Description of business in which corporation is actually engaged:
4. Names and addresses (street name and number) of Principal Officers: (Attach list if more than six officers)
President:
Treasurer:
Vice President:
Other:
Secretary:
Other:
A-Montana_Annual_Report.doc
Revised: 6/20/2007

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