sos.mt.gov/Business/Forms
25A-Certificate_of_Authority_of_Foreign_Limited_Liability_Company
Revised: 07/2015
(This space for Secretary of State use only)
STATE OF MONTANA
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
PHONE: (406) 444-3665
FAX: (406) 444-3976
WEB SITE: sos.mt.gov
Prepare, sign, and submit with an original signature and filing fee.
This is the minimum information required.
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. State, tribe, or country of organization: _________________________________________________________________________
3. The date of its organization: ____________________________ and the period of duration: _______________________________
(Month/Day/Year)
4. 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.)
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
6. The LLC is managed by (check one): Manager(s) Members.
7. 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 Date
____________________________________________________________ ___________________________________________
Printed Name Title
10. Daytime Contact: Phone _________________________________ Email _____________________________________________