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 NAME of 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 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 Limited Liability Company, with any addition required by 35-8-103, MCA: __________________________________________________________________________________________________________ 2. 3. State, tribe, or country of organization: _________________________________________________________________________ The date of organization:_____________________________________________________________________________________ (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: __________________________________________________________________________________________________________ 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 ____________________________________________________________ Printed Name 7. ____________________________________ Date 4. ___________________________________________ Title 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 which expires on December 31 of each year. Renewal of the name registration can be processed between October 1 and December 31. Forms are available for this purpose. Submit to the Secretary of State, P.O. Box 202801, Helena, Montana 59620-2801 with the filing fee of $10.00. 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, submit the original and a copy of this application. sos.mt.gov/Business/Forms 26A-Registration_of_Name_of_Foreign_LLC Revised: 07/2015 American LegalNet, Inc. www.FormsWorkFlow.com