Prepare, sign and submit with the proper filing fee.
STATE OF MONTANA
This is the minimum information required
(This space for use by the Secretary of State only)
APPLICATION for
AMENDED CERTIFICATE of AUTHORITY
of FOREIGN CORPORATION
LINDA McCULLOCH
MAIL:
Secretary of State
P.O. Box 202801
Helena, MT 59620‐2801
PHONE: (406) 444‐3665
FAX:
(406) 444‐3976
WEB SITE:
sos.mt.gov
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 certificate 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 corporation by the Secretary of State of Montana on ________________,
(Mo/Day/Year)
authorizing it to transact business or conduct affairs in Montana under the current name of
__________________________________________________________________________________.
If the document is hand written, please print 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 consolidation, 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 with 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 (35‐1‐428, MCA).
____________________________________________________
Signature of Officer/Chairman of the Board
____________________________________________________ ____________________________
Title
Date (Mo/Day/Year)
Daytime Contact: Phone _____________________ Email ______________________
45‐Application_for_Amended_Certificate_of_Authority.doc
Revised: 1/5/2009