Prepare, 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 PROFIT CORPORATION 35-1-1029, MCA MAIL: LINDA McCULLOCH Secretary of State P.O. Box 202801 Helena, MT 59620-2801 (406) 444-3665 (406) 444-3976 sos.mt.gov PHONE: FAX: WEB SITE: Required Filing Fee: $15.00 24 Hour Priority Handling check box and Add $20.00 1 Hour Expedite Handling check box and Add $100.00 Folder ID Number: _____________ Make checks payable to Secretary of State. The folder number begins with an "F" and may be referenced at https://www.mtsosfilings.gov. If the document is hand written, please print legibly or the application may be denied. 1. A certificate of authority was issued to the corporation by the Secretary of State of Montana authorizing it to transact business or conduct affairs in Montana under the current name of: ________________________________________________________________________________________________________ 2. The corporate name has been changed to: _____________________________________________________________________ A profit corporation must contain "corporation," "company," "incorporated," "limited," or the abbreviations "corp.", "inc.", "co.", or "ltd." 3. 4. 5. Its period of duration has changed from: __________________________________ to:__________________________________ Its state, tribe, or country of jurisdiction has changed from: ________________________ to:_____________________________ The business mailing address of its principal office: _______________________________________________________________ City: ______________________________________ State:______________________________ Zip Code: __________________ 6. The name of the entity's Commercial Registered Agent for service of process in Montana: (A list of Commercial Registered Agents is available at: http://sos.mt.gov/Business/Agents/index.asp.) Name: __________________________________________________________________________________________________ Or, the name and address of the entity's Noncommercial Registered Agent for service of process in Montana: Name: __________________________________________________________________________________________________ Actual Street Address or Rural Route Box Number in Montana: (Must be an actual geographic location.) ________________________________________________________________________________________________________ City: _______________________________________________________ Zip Code: ____________________________________ sos.mt.gov/Business/Forms 45-Application_for_Amended_Certificate_of_Authority Revised: 09/2016 American LegalNet, Inc. www.FormsWorkFlow.com And, a mailing address in Montana, if different: ________________________________________________________________________________________________________ City: _______________________________________________________ Zip Code: ____________________________________ Appointment of a Registered Agent is affirmation of the Registered Agent's consent to serve as Registered Agent. 7. The name, office held, and business mailing address of the current officers. (If a person holds more than one office, please indicate [i.e., President/Treasurer].) Add additional sheets if necessary. ________________________________________________________________________________________________________ Name Office Held Business Mailing Address ________________________________________________________________________________________________________ Name Office Held Business Mailing Address ________________________________________________________________________________________________________ Name Office Held Business Mailing Address 8. The names and usual business addresses of its current directors: ________________________________________________________________________________________________________ Name Business Mailing Address ________________________________________________________________________________________________________ Name Business Mailing Address ________________________________________________________________________________________________________ Name Business Mailing Address ________________________________________________________________________________________________________ Name Business Mailing Address A description of the business the corporation is transacting: _______________________________________________________ ________________________________________________________________________________________________________ 9. 10. I, HEREBY SWEAR AND/OR AFFIRM, under penalty of law, including criminal prosecution, that the facts contained in this document are true and that this entity has complied with the organizational laws in the jurisdiction in which it is organized and that it exists in that jurisdiction. __________________________________________________________________________ ____________________________ Signature of Presiding Officer of the Board of Directors, President, or other Officer Date ___________________________________________________________ Printed Name ___________________________________________ Title 11. Daytime Contact: Phone _________________________________ Email ____________________________________________ sos.mt.gov/Business/Forms 45-Application_for_Amended_Certificate_of_Authority Revised: 09/2016 American LegalNet, Inc. www.FormsWorkFlow.com