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STATE OF MONTANA

This is the minimum information required.

(This space for use by the Secretary of State only)

REINSTATEMENT or REVIVER

DOMESTIC or FOREIGN CORPORATION

APPLICATION

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

Filing Fee:

Dom. Reinstatement $30.00

plus Annual Reports

Dom. Nonprofit Reinstatement $10.00

plus Annual Reports

Domestic & Foreign Reviver $15.00 plus Annual Reports

 24 Hour Priority Handling check box and Add $20.00

 1 Hour Expedite Handling check box and Add $100.00

LEASE CHECK ONE BOX

 Domestic Reinstatement

(35-6-201,

MCA)

 Domestic Nonprofit Reinstatement

(35-6-201,

MCA)

 Domestic Reviver

(15-31-524,

MCA)

 Foreign Reviver

(15-31-524,

MCA)

The exact name of the corporation is: _____________________________________________________________________

____________________________________________________________________________________________________

The assets of the corporation have not been liquidated pursuant to

Sections 35-1-938 through

35-1-943,

MCA,

if a profit

corporation, or Sections

35-2-726 through

35-2-727, MCA, if a nonprofit corporation.

Not less than a majority of its directors have authorized this Application of Reinstatement or Reviver

If the corporate name has been legally acquired by another corporation prior to its application for reinstatement, the

corporation desires to be reinstated with the new name of:

(It is not necessary to complete this unless the business name has

been taken by another entity.)

____________________________________________________________________________________________________

For Domestic or Foreign Reviver: The corporation submits with this application a

Certificate of Reinstatement of Suspended

Corporation

obtained from the Department of Revenue evidencing payment of delinquent taxes.

For Domestic Reinstatement: The corporation submits a certificate from the Department of Revenue stating that all taxes

imposed pursuant to

Title 15,

MCA, have been paid as well as the delinquent annual corporation reports for which the

corporation was dissolved, with their respective filing fees.

I H

, under penalty of law, that the facts contained in this application are true.

EREBY

WEAR AND

FFIRM

______________________________________________________________

___________________________________

Signature of Officer or Chair of the Board

Date

_____________________________________________

Exact Name and Title of Authorized Person

Daytime Contact phone: ________________________ Email: ________________________________________________

sos.mt.gov/Business/Forms

39-Reinstatement_or_Reviver_Domestic_or_Foreign.doc

Revised: 10/01/2013

Reinstatement Or Reviver For Domestic Or Foreign Corporation Application - Montana Secretary Of State - 2013 Page 2

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