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
:
LINDA McCULLOCH
MAIL
Secretary of State
P.O. Box 202802
Helena, MT 59620‐2802
PHONE: (406) 444‐3665
FAX: (406) 444‐3976
WEBSITE: sos.mt.gov
Must be returned in order for your corporation to remain active and Filing Fee on or before April 15: $15.00
in good standing and prevent involuntary dissolution/revocation per After April 15: $30.00
35‐1‐1104, MCA, as a Profit Corporation; 35‐2‐904, MCA, as a nonprofit 24 Hour Priority Filing Add $20.00
Corporation; and 35‐4‐209, MCA, as a Professional Service Corporation.
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 Corporation: _________________________________________________________________________________
Registered Agent Information
Name of Registered Agent: _______________________________________ Phone (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.
Optional: Phone: __________________________ E‐Mail Address (Optional): ______________________________
Signature of New Registered Agent (required if changed): _______________________________________________
1. State of Incorporation: _________________________________________________________________________________
2. Address of Principal Office:
______________________________________________________________________________________________________
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: ___________________________________________
_________________________________________________ _________________________________________________
_________________________________________________ _________________________________________________
Montana_Annual_Report.doc
Revised: 2/11/2009