Fill and Sign the How to Form an Llc in Montananolo

P:\New\profitoreign\45-Foreign_Profit_Corporation_Application_for_Amended_Certificate_of_Authority .doc Revised: 9/01/2006 STATE OF MONTANA APPLICATION for AMENDED CERTIFICATE of AUTHORITY 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 and submit with the proper filing fee. This is the minimum information required (This space for use by the Secretary of State only) 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 certif icate of authority with the State of Montana to transact business or conduct affairs in Montana, according to 35- 1-1029, MCA (profit) or 35-2-823, MCA (nonprofit), the undersigned submits the following statements of fact to the Secretary of State and attaches an original, currently dated Certificate of Existence duly certified and issued 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 cor poration by the Secretary of State of Montana on, authorizing it to transact business or conduct a ffairs in Montana under the current name of If the document is hand written, please prin t legibly or the application may be denied 2. The corporate name has been changed to: (If for profit, the name must contain “corporation”, “company”, “incorporated”, “limited”, or abbreviation of such.) 3. Its period of duration has changed from: to: 4. Its state or country of jurisdiction has changed from: to: 5. If the corporation was involved in a merger or cons olidation, the name of the surviving corporation is: (Both entities must be qualified) 6. If a nonprofit corporation, its designation has changed from: to: (Either Public Benefit Corporation, Mutual Benefit Corporation or Religious Corporation) The execution of any document required to be filed wi th 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 Officer/Chairman of the Board Title Date Daytime Contact: Phone_____________________Email__________________________________ ™ All information provided, including names and add resses 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 s ubmission. 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 comple te and correct, the document will be filed and an acknowledgment copy showing completion returned to the original submitter.