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 RENEWAL of NAME REGISTRATION for FOREIGN LIMITED LIABILITY COMPANY 35-8-108, 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 Folder ID Number: __________________ Make checks payable to Secretary of State. The folder number begins with an "E" and may be referenced at https://www.mtsosfilings.gov. If the document is hand written, please print legibly or the application may be denied. 1. The name of the Limited Liability Company, with any addition required by 35-8-103, MCA: _____________________________________________________________________________________________________________________ 2. 3. State, tribe, or country of organization: _____________________________________________________________________________________ The date of organization is: ______________________________________________________________________________________________ (Month/Day/Year) The business mailing address of its principal office: ___________________________________________________________________________ City:________________________________________________ State:_______________________________ Zip Code:_____________________ 5. A brief description of the nature of its business is: _____________________________________________________________________________________________________________________ 6. 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 Managing Member/Managing Manager ________________________________ Date 4. ___________________________________________________________________ ________________________________________________ Printed Name Title 7. Daytime Contact: Phone __________________________________________ Email _________________________________________________ NOTE: This registration does not authorize the foreign Limited Liability Company to transact business in the State of Montana. This is only a name registration that expires on December 31 of each year. Renewal of the name registration can be processed between October 1 and December 31 of each year. If a formal certificate is desired, remit an additional $5.00 and a written request along with this application. A copy of the application should be retained in the Limited Liability Company records. To receive a "FILED" copy back, you will need to submit the original and a copy of this application. American LegalNet, Inc. www.FormsWorkFlow.com sos.mt.gov/Business/Forms 27A-Renewal_of_Corporate_Name_Registration_for_Foreign_LLC Revised: 09/2016