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 CERTIFICATE of AUTHORITY of FOREIGN LIMITED LIABILITY COMPANY 35-8-1003, 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: $70.00 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. Check One Box: Foreign Limited Liability Company Foreign Professional Limited Liability Company 1. The name of the Limited Liability Company: __________________________________________________________________________________________________________ (Must contain "limited liability company," "limited company" or if Professional, "professional limited liability company," or an abbreviation.) 2. 3. State, tribe, or country of organization: _________________________________________________________________________ The date of its organization: ____________________________ and the period of duration: _______________________________ (Month/Day/Year) 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.) 4. 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. 5. The business mailing address of the principal office: _______________________________________________________________ City: ____________________________________________State: ________________________ Zip Code: ____________________ sos.mt.gov/Business/Forms 25A-Certificate_of_Authority_of_Foreign_Limited_Liability_Company Revised: 07/2015 American LegalNet, Inc. www.FormsWorkFlow.com 6. 7. The LLC is managed by (check one): Manager(s) Members. Names and business mailing addresses of current managing Managers or managing Members are (attach a list if necessary): __________________________________________________________________________________________________________ Name Business Mailing Address __________________________________________________________________________________________________________ Name Business Mailing Address __________________________________________________________________________________________________________ Name Business Mailing Address 8. If a Professional Limited Liability Company, the services to be rendered: ______________________________________________ __________________________________________________________________________________________________________ 9. 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 ____________________________________________________________ Printed Name ____________________________________ Date ___________________________________________ Title 10. Daytime Contact: Phone _________________________________ Email _____________________________________________ sos.mt.gov/Business/Forms 25A-Certificate_of_Authority_of_Foreign_Limited_Liability_Company Revised: 07/2015 American LegalNet, Inc. www.FormsWorkFlow.com