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) CERTIFICATE of AUTHORITY for a FOREIGN NONPROFIT CORPORATION 35-2-822, 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: $20.00 24 Hour Priority Handling check box and Add $20.00 1 Hour Expedite Handling check box and Add $100.00 Make checks payable to Secretary of State. If the document is hand written, please print legibly or the application may be denied. 1. 2. 3. 4. Name of the Corporation: ____________________________________________________________________________________ The date of incorporation: ______________________________ period of duration: _____________________________________ (Month/Day/Year) The Corporation is organized in the following state, tribe, or country: ________________________________________________ The business mailing address of the principal office: ______________________________________________________________ City: ______________________________________________ State: ________________ Zip Code: _________________________ 5. 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: ____________________________________ 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. 6. The names, titles, and business mailing addresses of the current directors and officers: (At least three directors and one officer are required per 35-2-415, MCA.) (Attach a separate list if necessary.) __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ sos.mt.gov/Business/Forms/ 64-Foreign_Nonprofit_Corporation_Certificate_of_Authority Revised: 07/2015 American LegalNet, Inc. www.FormsWorkFlow.com 7. This Nonprofit Corporation is a (you must check one): Public Benefit Corporation with members Mutual Benefit Corporation with members Religious Corporation with members Public Benefit Corporation without members Mutual Benefit Corporation without members Religious Corporation without members 8. 9. A description of the business being transacted: ___________________________________________________________________ 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 10. Daytime Contact: Phone _______________________________________ Email ________________________________________ sos.mt.gov/Business/Forms/ 64-Foreign_Nonprofit_Corporation_Certificate_of_Authority Revised: 07/2015 American LegalNet, Inc. www.FormsWorkFlow.com