STATE OF MONTANA Prepare, sign and submit with the proper filing fee. This is the minimum information required (This Space for use by the Secretary of State only) APPLICATION for AMENDED CERTIFICATE of AUTHORITY of FOREIGN LIMITED LIABILITY COMPANY (35-8-1003, MCA) MAIL: BRAD JOHNSON PHONE: FAX: WEB SITE: Secretary of State P.O. Box 202801 Helena, MT 59620-2801 (406)444-3665 (406)444-3976 sos.mt.gov Filing Fee: $15:00 24 Hour Priority Filing Add $20.00 1 Hour Expedite Filing Add $100.00 For the purpose of amending its original application for certificate of authority with the State of Montana to transact business or conduct affairs in Montana, according to 35-8-1003 MCA, the undersigned submits the following statements of fact to the Secretary of State and attaches a Certificate of Existence duly certified and issued under a current date by the Secretary of State of the State of its jurisdiction with the Great Seal affixed. 1. A certificate of authority was issued to the LLC by the Secretary of State of Montana on authorizing it to transact business or conduct affairs in Montana under the current name of: 2. The LLC name has been changed to: (Name must contain Limited Liability Company, Limited Company or Professional Limited Liability Company or an abbreviated of such) If the document is hand written, please print legibly or the application may be denied 3. Its period of duration has changed from: to: 4. Its state or country of jurisdiction has changed from: to: The execution of any document required to be filed with the Secretary of State constitutes an affirmation, under penalties of false swearing, by each person executing the document that the facts stated therein are true. (Section 35-1-428, MCA) Signature of Manager/Member Date Daytime Contact: Phone_______________________________Email______________________________ 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. There are important legal and accounting implications with respect to this corporation action. Suitable legal and accounting advice should be secured before submission. The Secretary of State’s office encourages that such advice be sought prior to filling out forms to be sure that you understand the terms and procedures. Please be advised that the Business Services Bureau of the Montana Secretary of State will process your business documents within 10 working days of initial receipt. During this period if it’s determined that your document doesn’t meet statutory requirements, a letter outlining the deficiencies will be returned to the original submitter. If the document is complete and correct, the document will be filed and an acknowledgment copy showing completion returned to the original submitter. P:\Forms\llc\foreign\28-Foreign_Limited_Liability_Company_Amended_Certificate_of_Authority.doc Revised: 09/01/2006 American LegalNet, Inc. www.FormsWorkflow.com