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 REGISTRATION of CORPORATE NAME of FOREIGN CORPORATION 35-1-311, 35-2-307, 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: $10.00 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. The name of the Corporation, with any addition required by 35-1-1031 or 35-2-826, MCA: _____________________________________________________________________________________________________________________ A profit corporation must contain "corporation," "company," "incorporated," "limited," or the abbreviations "corp.", "inc.", "co.", or "ltd." 2. 3. 4. 5. The Corporation is (check one): Profit Nonprofit The Corporation is organized in the following state, tribe, or country: ____________________________________________________________ The date of incorporation: _______________________________________________________________________________________________ The business mailing address of its principal office:____________________________________________________________________________ City:_____________________________________________________________ State:_______________ Zip Code:________________________ 6. A brief description of the nature of its business: _____________________________________________________________________________________________________________________ 7. 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 __________________________________________________________________ Printed Name ________________________________________ Date _________________________________________________ Title 8. Daytime Contact: Phone ____________________________________________Email _______________________________________________ NOTE: This registration does not authorize the foreign corporation to transact business in the State of Montana. This is only a name registration which expires on December 31 of each year. Renewal of the name registration can be processed between October 1 and December 31. A form is available for this purpose. (35-1-1026, MCA and 35-2-820, MCA). Remit an additional $5.00 along with a written request if a formal certificate is desired. A copy of the application should be retained in the corporation's records. sos.mt.gov/Business/Forms 49-Registration_of_Corporate_Name_of_Foreign_Corporation.doc Revised: 07/2015 American LegalNet, Inc. www.FormsWorkFlow.com