Form 30c - Application For Reviver For Foreign 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 FOREIGN
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
Folder ID Number: _________________
1 Hour Expedite Handling check box and Add $100.00
The folder number begins with a “C” and may be referenced at
https://app.mt.gov/bes/.
Make checks payable to Secretary of State.
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:__________________________________________ State:__________________________ Zip Code:___________________
4. The Series Limited Liability Company submits with this application a
Title 15,
MCA, certificate from the
Montana
Department of Revenue
evidencing payment of delinquent taxes.
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
30C-Reviver_of_Foreign_Series_LLC
Revised: 07/2015
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