Form 26a - Application For Registration Of Name Of Foreign Limited Liability Company

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This is the minimum information required

STATE OF MONTANA

(This space for Secretary of State use only)

APPLICATION for REGISTRATION of NAME of FOREIGN

LIMITED LIABILITY COMPANY

35-8-108, MCA

LINDA McCULLOCH

MAIL:

Secretary of State

P.O. Box 202801

Helena, MT 59620-2801

PHONE:

(406) 444-3665

FAX:

(406) 444-3976

Required Filing Fee: $10.00

WEB SITE:

sos.mt.gov

 24 Hour Priority Handling check box and Add $20.00

 1 Hour Expedite Handling check box and Add 100.00

Make checks payable to Secretary of State.

If the document is hand written, please print legibly or the application may be denied.

1. The name of the Limited Liability Company, with any addition required by

35-8-103,

MCA:

__________________________________________________________________________________________________________

2. State, tribe, or country of organization: _________________________________________________________________________

3. The date of organization:_____________________________________________________________________________________

(Month/Day/Year)

4. The business mailing address of its principal office: _______________________________________________________________

City:___________________________________________ State:__________________________ Zip Code:___________________

5. A brief description of the nature of its business:

__________________________________________________________________________________________________________

6. 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

that it exists in that jurisdiction.

___________________________________________________________________

____________________________________

Signature of Managing Member/Managing Manager

Date

____________________________________________________________

___________________________________________

Printed Name

Title

7. Daytime Contact: Phone _________________________________ Email _____________________________________________

NOTE: This registration does not authorize the foreign Limited Liability Company 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. Submit to the

Secretary of State, P.O. Box 202801, Helena, Montana 59620-2801 with the filing fee of $10.00. If a formal certificate is desired, remit an additional

$5.00 and a written request along with this application. A copy of the application should be retained in the Limited Liability Company records. To

receive a “FILED” copy back, submit the original and a copy of this application.

26A-Registration_of_Name_of_Foreign_LLC

sos.mt.gov/Business/Forms

Revised: 07/2015