Form 65 - Application For Amended Certificate Of Authority Of Foreign Nonprofit Corporation
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1
2Prepare, sign, and submit with an original signature and filing fee.
This is the minimum information required.
STATE OF MONTANA
(This space for Secretary of State use only)
APPLICATION for AMENDED CERTIFICATE of AUTHORITY
of FOREIGN NONPROFIT CORPORATION
35-2-823, 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: $15.00
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
Folder ID Number: _____________
The folder number begins with an “F” and may be
Make checks payable to Secretary of State.
referenced at
https://app.mt.gov/bes/.
If the document is hand written, please print legibly or the application may be denied.
1. Name of the Corporation: ____________________________________________________________________________________
2. The business mailing address of its principal office: _______________________________________________________________
City:_____________________________________________________ State:__________ Zip Code:_________________________
3. A brief description of the nature of its business:
__________________________________________________________________________________________________________
4. The name, office held, and business mailing address of the current officer(s). (If a person holds more than one office please
indicate, i.e., President/Treasurer.) Add additional sheets as necessary.
__________________________________________________________________________________________________________
Name
Office Held
Business Mailing Address
_________________________________________________________________________________________________________
Name
Office Held
Business Mailing Address
_________________________________________________________________________________________________________
Name
Office Held
Business Mailing Address
5. The names and business mailing addresses of the current directors. Add additional sheets as necessary.
_________________________________________________________________________________________________________
Name
Business Mailing Address
_________________________________________________________________________________________________________
Name
Business Mailing Address
_________________________________________________________________________________________________________
Name
Business Mailing Address
_________________________________________________________________________________________________________
Name
Business Mailing Address
6. The corporate name has been changed to: ______________________________________________________________________
7. Its period of duration has changed from: __________________________________ to: ___________________________________
8. Its state, tribe, or country of jurisdiction has changed from: _________________________ to: ____________________________
65-Amended_Certificate_of_Authority_of_Foreign_Nonprofit_Corporation
sos.mt.gov/Business/Forms
Revised: 07/2015
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