Fill and Sign the Application for Registration of Corporate Form

P:\New\profitoreign\49-Foreign_Profit_Corporation_Application_for_Registration_of_Corporate_Name.doc Revised: 9/1/2006 STATE OF MONTANA APPLICATION for REGISTRATION of CORPORATE NAME of FOREIGN CORPORATION MAIL: BRAD JOHNSON Secretary of State P.O. Box 202801 Helena, MT 59620-2801 PHONE: (406)444-3665 FAX: (406)444-3976 WEB SITE: sos.mt.gov Prepare, sign, submit with an original signature and filing fee. This is the minimum information required (This space for use by the Secretary of State only) Filing Fee: $10.00 24 Hour Priority Filing Add $20.00 1 Hour Expedite Filing Add $100.00 For the purpose of registering its corporate name with the State of Montana, according to 35-1-311 or 35-2-307, MCA, the undersigned foreign corporation organized under the laws of any state, territory or country submits the following statements of fact to the Secretary of State: 1. The exact name of the corporation is: A profit corporation must contain "corporation," "company," "incorporated," "limited," or an abbreviation of such . 2. It is incorporated under the laws of: 3. The date of incorporation is: 4. The street address of its business office is: (City or town) (State) (Zip) 5. The description of the business: 6. It submits an original certificate of existence currently signed and dated by the proper official of the state, territory or country under the laws of which it is incorporated. Signature of Officer or Chairman of the Board Date Title 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. 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. ™ Remit an additional $5.00 if formal certificate is desired. A copy of the application should be retained in the corporation's records. ™ 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.