STATE OF MONTANA
Prepare, sign, submit with an original signature and filing fee
This is the minimum information required.
REINSTATEMENT or REVIVER
(This space for use by the Secretary of State only)
for DOMESTIC or FOREIGN
LIMITED LIABILITY COMPANY
APPLICATION
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:
Domestic Reinstatement $35.00 plus annual reports
Domestic Reviver $15.00 plus annual reports
Foreign Reviver $15.00 plus annual reports
24 Hour Priority Handling check box and Add $20.00
1 Hour Expedite Handling check box and Add $100.00
P
:
LEASE CHECK ONE BOX
Domestic Reinstatement
(35-8-912, MCA
)
Domestic Reviver
(15-31-524,
MCA)
Foreign Reviver
(15-31-524,
MCA)
1.
The exact name of the limited liability company is:
_____________________________________________________________________________________________________
2.
The limited liability company’s business mailing address is:
_____________________________________________________________________________________________________
3.
The assets of the limited liability company have not been liquidated.
4.
Not less than a majority of its members have authorized this Application of Reinstatement/Reviver.
5.
If the limited liability company name has been legally acquired by another business entity prior to its Application for
Reinstatement, the limited liability company desires to be reinstated with the new name of:
____________________________________________________________________________________________________
6.
For Domestic or Foreign Reviver: The limited liability company submits with this application a Certificate of Reinstatement
of Suspended Limited Liability Company obtained from the Department of Revenue evidencing payment of delinquent
taxes.
7.
For Domestic Reinstatement: Attached are all Annual Reports as required by the Montana Secretary of State and
a) Pursuant to
35-8-912,
MCA, a certificate from the Montana Department of Revenue stating that all taxes imposed
pursuant to Title 15 have been paid must be attached. You may contact them at (406) 444‐6900; PO Box 5805,
Helena, MT 59620‐5805.
OR
b) Check this box if this is a “single member” limited liability company that is not taxed as a corporation.
Pursuant to
35-8-912, MCA
a certificate from the Montana Department of Revenue is not required.
8.
I, HEREBY SWEAR AND AFFIRM, under penalty of law, that the facts contained in this document are true.
___________________________________________________________________________________________________
Signature of Managing Member/Manager
Date
Daytime Contact phone: ________________________ Email: ________________________________________
sos.mt.gov/Business/Forms
30-Reinstatement_or_Reviver_for_Domestic or Foreign_Limited_Liability_Company.doc
Revised: 11/14/2012