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STATE OF MONTANA APPLICATION of REINSTATEM ENT 30A-Foreign_Lim ited _Liability _Com pany_Reinstatem ent_or_Reviver. doc Revised: 6/20/2007 or REVIVER for DOM ESTIC or FOREIGN LIM ITED LIABILITY COMPANY 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, subm it w ith signature, annual report(s) and the correct filing fee. (Space below for use by the Secretary of State only) Filing Fee: Varies. See below . 24 Hour Priority Filing Add $20.00 1 Hour Expedite Filing Add 100.00 PLEASE CHECK ONE BOX : … Dom estic Reviver (15-31-524, MCA) $15.00 … Foreign Reviver (15-31-524, MCA) $15.00 … Dom estic Reinstatem ent (35-8-210, MCA) $35.00 (along with annual reports and fee) 1. The exact nam e of the lim ited liability com pany is: 2. The assets of the lim ited liability com pany have not been liquidated pursuant to Section 35-8-210 MCA. 3. Not less than a m ajority of its m embers have aut horized this Application of Reinstatem ent/Reviver. 4. If the lim ited liability com pany nam e has been lega lly acquired by another corporation prior to its Application for Reinstatem ent, the lim ited liability com pan y desires to be reinstated with the new nam e of 5. For Domestic or Foreign Reviver, the lim ited liability com pany subm its with this application a Certificate of Reinstatem ent of Suspended Lim ite d Liability Com pany obtained from the Departm ent of Revenue evidencing pay men t of delinquent taxes . 6. For Domestic Reinstatement (mark one) † The dom estic lim ited liability com pany is taxed as a part nership. Therefore, a Title 15 Certificate from the Montana Departm ent of Revenue is not required . † The dom estic lim ited liability com pany is taxed as a co rporation. Attached is a Title 15 Certificate from the Montana Departm ent of Revenue . I, HEREBY SWEAR AND AFFI RM , under penalty of law, that the facts c ontained in this Application are true. Signature of Mem ber/Manager Date ™ 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. ™ There are important legal and accounting implications with respect to this corporat ion action. Suitable legal and accounting advice should be secu red before submission. 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 Burea u of the Montana Secretary of State will process your business documents within 10 working d ays of initial receipt. During this p eriod if it’s determined that your document doesn’t meet statutory requirements, a letter out lining the deficiencies will be returned to the original submitter. If the document is complet e and correct, the document will be filed and an acknowledgment copy showing completion returned to the original submitter. MONTANA CORPORATION ANNUAL REPORT Prepare, sign, subm it w ith an original signature and filing fee. This is the m inim um inform ation required. (This space for use by the Secretary of State only) MAIL : BRAD JOHNSON Secretary of State P.O. Box 202802 Helena, MT 59620-2802 PHONE: (406)444-3665 FAX : (406)444-3976 WEB SITE: sos.mt.gov MUST BE RETURNED IN ORDER FOR YOUR CORPORATION TO REMAIN ACTIVE AND IN GOOD STANDING AND PREVENT INVOLUNTARY DISSOLUTION/REVOCATION PER 35-1-1104, MCA, \ AS A PROFIT CORPORATION; 35-2-904, MCA, AS A NO NPROFIT Filing Fee on or before April 15 th: $15.00 CORPORATION; AND 35-4-209, AS A PROFESSIONAL SERVICE After April 15 th: $30.00 CORPORATION. \ 1 Hour Expedite Filing Add $100.00 \ 24 Hour Priority Filing Add $20.00 To help you determine what information is on file wi th this office, please call the above phone number or use our business entity search at app.discoveringmontana.com/bes Exact Name of Corporation: A-Montana_Annual_Repo rt.doc Revised: 6/20/2007 Registered Agent Information. The name and address of the Registered Agent/Office in Montana: Nam e of Registered Agent: Phone (Optional): E-Mail Address (Optional): Street Address: City: MT Zip: (or Physical Location) Mailing Address/PO Box*: City: MT Zip: *Com plete if m ailing address is different from street address or physical location a nd both addresses m ust be in Montana. Signature of New Registered Agent ( required if changed ): 1. State of Incorporation: 2. Address of Principal Office in state of incorporation: 3. Brief Description of business in whic h corporation is actually engaged: 4. Nam es and addresses (street nam e and num ber) of Principa l Officers: (Attach list if m ore than six officers) President: Treasurer: Vice President: Other: Secretary : Other: 5. Names and Addresses (street nam e and num ber) of Directors : Nonprofit corporations are required to have a mi nimu m o f three (3) directors. (Attach list, if necessary ). A-Montana_Annual_Repo rt.doc Revised: 6/20/2007 6. Shares (profit corporations only ). List the current total num ber of shares authorized and total num ber of shares issued. Item ize both by class and series, if any . (Attach schedule, if necessary ) Shares Authoriz ed Shares Issued Class Series Par Value COMMON Domestic Profit Corporations Only. If issued shares ex ceed authoriz ed shares or a change is made in class, par value or the number of authoriz ed shares; an amendment must be filed according to MCA Title 35. 7. Professional Service Corporations only . I certify that all the shareholders, not less than one-half the directors and all the officers other than the secretary and treasurer of th e corporation are qualified persons with respect to the corporation. 8. Nonprofit Corporations only (Please mark either box) . The corporation shall …have m embers or …shall not have m embers. (This inform ation m ust agree with our records). 9. By my signature below, I, an official of the above corpor ation, do state that I signed this report on behalf of the corporation and that the statements herein co ntained are true, under penalty of false swearing. X: Signature of officer Title Printed name of Date or chair of board signing official An annual report must be filed for each year of reinstatement. The individual signing must be listed on the annual report or attachment and identified as either an officer or chair of the board of directors in order for this office to accept the signature. 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. Sign and include correct filing fee: Please send fee and com pleted report to: $15.00, if filed on or before Ap ril 15th Brad Johnson (406) 444-3665 $30.00, if filed after April 15th Secretary Of State P.O. Box 202802 Helena MT 59620-2802 Make checks pay able to Secretary Of State, Helena MT 59620-2802