INSTRUCTIONS APPLICATION FOR REINSTATEMENT OF DOMESTIC CORPORATION 35-6-201, MCA IT IS YOUR RESPONSIBILITY TO FULLY READ THESE INSTRUCTIONS PRIOR TO COMPLETING THE APPLICATION FOR REINSTATEMENT GENERAL INFORMATION: This form is used to reinstate any involuntarily dissolved for profit or nonprofit domestic corporation. A corporation administratively dissolved under the provisions of 35-6-104, MCA, may apply to the Secretary of State for reinstatement within 5 five years after the effective date of dissolution to restore its right to carry on business in this state, and become active and in good standing again. The corporation that is reinstated will relate back to the date the corporation was administratively dissolved within the 5-year period, and the corporation is considered to have been an existing legal entity from the date of its original incorporation. In order for a corporation to be reinstated, within 5 years of the date of involuntary dissolution, an Application for Reinstatement and all annual reports for the years from the date of the involuntary dissolution to the current year must be filed with the Secretary of State's office. The filing fee for the Reinstatement application is $30.00 for a profit corporation, and the filing fee for a nonprofit corporation is $10.00, plus additional fees for each Annual Report. Please refer to the form for mailing instructions, and other general information. If you wish to have priority or expedite handling, additional fees will apply. For reinstatements, only one $20.00 priority fee is submitted for the reinstatement and annual reports packet, or only one $100.00 expedite fee is submitted for the reinstatement and annual reports packet. PLEASE NOTE - REPROCESSING FEES ­ Business Services documents rejected and resubmitted for processing will be assessed a reprocessing fee at 50% of the initial filing fee. The reprocessing fee will help offset operating costs associated with reprocessing the document. To avoid repaying the full required filing fee, the rejection letter accompanying your returned document must be returned with your resubmitted document. Foreign (out-of-state) entities cannot file for reinstatement. Item #1: Enter the entity name of the corporation, exactly as it is currently registered with the Secretary of State's office. Item #2: This statement is required by 35-6-201(2)(b), MCA. Item #3: This statement is required by 35-6-201(2)(c), MCA. Item #4: If a corporate name has been legally acquired by another corporation prior to its application for reinstatement, it will be necessary to change the name. Please enter the new name under which you will be transacting business. Please note: If the current name is available for reinstatement, you will not be able to change the name on this form. If you wish to change the name of the corporation, you may submit an Articles of Amendment form to change the name, for an additional $15.00 once the corporation is active and in good standing (for either for profit corporations or nonprofit corporations). Item #5: Please submit a Title 15 Certificate you obtain from the Department of Revenue, which states that all taxes imposed pursuant to Title 15, MCA, have been paid. The Title 15 Certificate request form is made available through our website. Once you receive the Title 15 Certificate, please submit the reinstatement American LegalNet, Inc. www.FormsWorkFlow.com form, Title 15 Certificate (original with signature), and all the delinquent annual corporation reports for which the corporation was dissolved, along with their respective fees, in order to reinstate the business. Item #6: The signature of an officer or director listed as such at the time of dissolution, along with the title listed, and date the form was executed is required. Item #7: Please be aware that all filings with this office are public record and are available upon request via the Secretary of State's website. Your phone number and e-mail address, if entered, will be part of the public record. Do not include your Social Security Number on this form. American LegalNet, Inc. www.FormsWorkFlow.com SECRETARY OF STATE STATE OF MONTANA LINDA McCULLOCH Montana State Capitol PO Box 202801 Helena, MT 59620-2801 (406)444-3665 http://sos.mt.gov/ Business Services Division Re: (Exact name of Corporation or Limited Liability Company being reinstated) To bring your domestic Corporation/Limited Liability Company back into compliance with state statutes, submit an application for reinstatement, any delinquent annual reports, and a Title 15, MCA, tax clearance certificate from the Montana Department of Revenue, along with the required filing fees. Also, if you had registered any Assumed Business Names/dba's for your Corporation/Limited Liability Company, you will need to complete and submit a new registration for them because they were canceled at the time of your dissolution. Please fill out all required forms and submit them along with the appropriate filing fees to the Secretary of State's office at the above address. YOUR COST FOR REINSTATEMENT Filing fee for Reinstatement (see reinstatement application for appropriate filing fees) $ $ Express Handling Fee (only if applicable) (see reinstatement application for express handling fees) Filing fees for Annual Reports (for years marked) ___________ 2011 ($35.00) ___________ 2014 ($35.00) ___________ 2012 ($35.00) ___________ 2015 ($35.00) ___________ 2013 ($35.00) ___________ 2016 ($20.00 if between January 1st and April 15th $35.00 after April 15th) Total for all Annual Reports Total for Assumed Business Names (if applicable) ($20.00 per Assumed Business Name application) Total for Reinstatement $ $ $ Please note: For most reinstatements, a Title 15, MCA, Tax Clearance certificate must be obtained from the Montana Department of Revenue (see reinstatement application for tax certificate requirement). We have enclosed instructions and a request form for obtaining the certificate. You must include the signed original of the Title 15, MCA, Certificate with your reinstatement packet. If you have any further questions, please give our customer service representatives a call at 444-3665. Reception: (406) 444-2034 - Business Services Bureau: 444-3665 - Elections Bureau: 444-4732 Administrative Rules Bureau: 444-2055 - Records Management Bureau (1320 Bozeman Avenue): 444-9000 Fax: 444-3976 http://sos.mt.gov sos.mt.gov/Business/Forms Reinstatement_Packet Revised: 12/2015 American Legal