STATE OF MONTANA
Prepare, sign, submit with original signature and filing fee.
This is the minimum information required.
(This space for use by the Secretary of State only)
CERTIFICATE of AUTHORITY for a
FOREIGN NONPROFIT CORPORATION
35-2-822, 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: $20.00
24 Hour Priority Handling check box and Add $20.00
1 Hour Expedite Handling check box and Add $100.00
1. Name of the Nonprofit Corporation: ____________________________________________________________________
2. The date of incorporation: _______________________ period of duration: _____________________________________
(Month/Day/Year)
3. The state of incorporation is: __________________________________
4. The business mailing address of the principal office: ________________________________________________________
City: ______________________________________________ State: _________ Zip Code: _________________________
5. The name, street or rural route box number and mailing address of the registered office/agent in Montana:
Appointment of a Registered Agent is confirmation of the agent’s consent.
Name: ____________________________________________________________________________________________
Street Address (required): ____________________________________________________________________________
Mailing Address: ____________________________________________________________________________________
City: _________________________________________________ State: MT
Zip Code: ________________________
6. The name, title and business mailing address of the current directors and officers
(At least 3 directors & 1 officer are required.)
Attach a separate list if necessary:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
7. This Nonprofit Corporation is a (you must check one):
Public Benefit Corporation with members
Public Benefit Corporation without members
Mutual Benefit Corporation with members
Mutual Benefit Corporation without members
Religious Corporation with members
Religious Corporation without members
8. A description of the business being transacted: __________________________________________________________
9. I, H
S
A
, under penalty of law, that the facts contained in this document are true and that this entity has complied
EREBY
WEAR AND
FFIRM
with the organizational laws in the jurisdiction in which it is organized and that it exists in that jurisdiction.
____________________________________________________________________
________________________
Signature of Officer or Chairperson of the Board of Directors
Date
Daytime Contact: Phone: ___________________________ Email: __________________________________________
64-Foreign_Nonprofit_Corporation_Certificate_of_Authority.doc
Revised: 022/24/2015