Form 27a - Application For Renewal Of Name Registration For 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 RENEWAL of NAME REGISTRATION

for 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

Required Filing Fee: $10.00

FAX:

(406) 444-3976



24 Hour Priority Handling check box and Add $20.00

WEB SITE:

sos.mt.gov



1 Hour Expedite Handling check box and Add $100.00

Folder ID Number: __________________

Make checks payable to Secretary of State.

The folder number begins with an “E” and may be

referenced at

https://app.mt.gov/bes/.

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

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

35-8-103,

MCA:

_____________________________________________________________________________________________________________________

State, tribe, or country of organization: _____________________________________________________________________________________

The date of organization is: ______________________________________________________________________________________________

(Month/Day/Year)

The business mailing address of its principal office: ___________________________________________________________________________

City:________________________________________________ State:_______________________________ Zip Code:_____________________

A brief description of the nature of its business is:

_____________________________________________________________________________________________________________________

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

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 that expires on December 31 of each year. Renewal of the name registration can be processed between October 1 and December 31 of

each year.

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, you will need to submit the original and a copy of this application.

27A-Renewal_of_Corporate_Name_Registration_for_Foreign_LLC

sos.mt.gov/Business/Forms

Revised: 07/2015