Form 30b - Application For Reviver For Domestic Series Limited Liability Company
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1Prepare, 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 REVIVER for DOMESTIC
SERIES LIMITED LIABILITY COMPANY
15-31-524, MCA
LINDA McCULLOCH
MAIL:
Secretary of State
P.O. Box 202801
Helena, MT 59620-2801
PHONE:
(406) 444-3665
FAX:
(406) 444-3976
WEB SITE:
sos.mt.gov
Required Filing Fee: $35.00 plus annual reports
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 a “C” and may be referenced at
Make checks payable to Secretary of State.
https://app.mt.gov/bes/.
If the document is hand written, please print legibly or the application may be denied.
1. The exact name of the Series Limited Liability Company:
________________________________________________________________________________________________________
2. Attach list naming each Series Member(s) per
35-8-205(3),
MCA.
3. The business mailing address of its principal office:_______________________________________________________________
City: ___________________________________________________________ Zip Code: ________________________________
4. Attached are all Annual Reports as required by the Montana Secretary of State and
(a) Pursuant to
35-8-912,
MCA, a certificate from the
Department of Revenue
stating that all taxes imposed pursuant to
Title 15,
MCA, have been paid must be attached. You may contact them at (406) 444‐6900; PO Box 5805, Helena, MT
59620‐5805.
OR
(b) Check this box if this Series Limited Liability Company has only one member and has elected not to be taxed as a
corporation. Pursuant to
35-8-912,
MCA, a certificate from the Montana Department of Revenue is not required.
5. I, HEREBY SWEAR AND/OR AFFIRM, under penalty of law, including criminal prosecution, that the facts contained in this
document are true.
__________________________________________________________________
____________________________________
Signature of Managing Member/Managing Manager
Date
___________________________________________________________
___________________________________________
Printed Name
Title
6. Daytime Contact: Phone __________________________________ Email_____________________________________________
sos.mt.gov/Business/Forms
30B-Reviver_of_Domestic_Series_LLC
Revised: 07/2015
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