MONTANA CORPORATION ANNUAL REPORT MAIL: BRAD JOHNSON PHONE: FAX: WEB SITE: Prepare, sign, submit with an original signature and filing fee. This is the minimum information required. (This space for use by the Secretary of State only) Secretary of State P.O. Box 202802 Helena, MT 59620-2802 (406)444-3665 (406)444-3976 sos.mt.gov MUST BE RETURNED IN ORDER FOR YOUR CORPORATION TO REMAIN ACTIVE AND IN GOOD STANDING AND PREVENT INVOLUNTARY DISSOLUTION/REVOCATION PER 35-1-1104, MCA, AS A PROFIT CORPORATION; 35-2-904, MCA, AS A NONPROFIT CORPORATION; AND 35-4-209, AS A PROFESSIONAL SERVICE CORPORATION. Filing Fee on or before April 15th: $15.00 After April 15th: $30.00 1 Hour Expedite Filing Add $100.00 24 Hour Priority Filing Add $20.00 To help you determine what information is on file with this office, please call the above phone number or use our business entity search at app.discoveringmontana.com/bes Exact Name of Corporation: Registered Agent Information. The name and address of the Registered Agent/Office in Montana: Name of Registered Agent: Phone (Optional): E-Mail Address (Optional): Street Address: City: MT Zip: (or Physical Location) Mailing Address/PO Box*: City: MT Zip: *Complete if mailing address is different from street address or physical location and both addresses must be in Montana. Signature of New Registered Agent (required if changed): 1. State of Incorporation: 2. Address of Principal Office in state of incorporation: 3. Brief Description of business in which corporation is actually engaged: 4. Names and addresses (street name and number) of Principal Officers: (Attach list if more than six officers) President: Treasurer: Vice President: Other: Secretary: Other: A-Montana_Annual_Report.doc Revised: 6/20/2007 American LegalNet, Inc. www.FormsWorkflow.com 5. Names and Addresses (street name and number) of Directors: Nonprofit corporations are required to have a minimum of three (3) directors. (Attach list, if necessary). 6. Shares (profit corporations only). List the current total number of shares authorized and total number of shares issued. Itemize both by class and series, if any. (Attach schedule, if necessary) Shares Authorized Shares Issued Class Series Par Value COMMON Domestic Profit Corporations Only. If issued shares exceed authorized shares or a change is made in class, par value or the number of authorized shares; an amendment must be filed according to MCA Title 35. 7. Professional Service Corporations only. I certify that all the shareholders, not less than one-half the directors and all the officers other than the secretary and treasurer of the corporation are qualified persons with respect to the corporation. 8. Nonprofit Corporations only (Please mark either box). The corporation shall have members. (This information must agree with our records). have members or shall not 9. By my signature below, I, an official of the above corporation, do state that I signed this report on behalf of the corporation and that the statements herein contained are true, under penalty of false swearing. X: Signature of officer or chair of board Title Printed name of signing official Date An annual report must be filed for each year of reinstatement. The individual signing must be listed on the annual report or attachment and identified as either an officer or chair of the board of directors in order for this office to accept the signature. All information provided, including names and addresses of officers and directors, will be made available on the Secretary of State’s web site or upon request. Sign and include correct filing fee: $15.00, if filed on or before April 15th $30.00, if filed after April 15th Please send fee and completed report to: Brad Johnson (406) 444-3665 Secretary Of State P.O. Box 202802 Helena MT 59620-2802 Make checks payable to Secretary Of State, Helena MT 59620-2802 A-Montana_Annual_Report.doc Revised: 6/20/2007 American LegalNet, Inc. www.FormsWorkflow.com