Business Statement (Form 30) – Montana

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Business Statement (Form 30) – Montana

Business Statement (Form 30) is the Montana form that identifies the owners, stockholders, members, officers, directors and managers of a business tied to gambling or liquor licensing. Fill out the PDF online and download it.
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The Business Statement (Form 30) is a State of Montana form, issued under the DOJ Gambling Control Division and the DOR Liquor Control Division, that identifies the people involved with a business: owners, officers, directors and similar roles. Use it to list who holds an ownership interest, with each person's percentage and shares, and to name anyone who is to be removed. On FillingPDF you can fill out the business statement online and download or print the completed PDF; the form is published by the Montana Department of Revenue, and it is submitted to the Gambling Control Division in Billings.

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What is Form 30?

The Business Statement (Form 30) is the State of Montana form used to identify the people involved with a business, such as owners, officers and directors, on a filing handled by the DOJ Gambling Control Division and the DOR Liquor Control Division.

The form is printed as "Form 30 / Business Statement" and the revision shown on it is Rev. 5.2024. It has two pages. Page 1 identifies the business by Account ID No./Liquor License No., SSN or FEIN, entity name (LLC, LLP, Corp., etc.) and establishment name (DBA). It then has two tables for individual owners, stockholders or members: one for those to be listed and one for those to be removed. Each row asks for name, SSN/FEIN, date of birth, percentage of ownership and number of shares.

Page 2 has the same pair of tables for officers, directors or managers, with a title column instead of ownership figures, followed by the affirmation and signature block.

When an entity such as a corporation or partnership holds an ownership interest, the form asks for the FEIN of each entity owner and its percentage of ownership. If more than one entity has an ownership interest, a separate form must be completed for each entity. The ownership shares must add up to 100%.

The form is not a license application by itself. It supplies the ownership and management information, and it lists the items to submit with it for each person named: fingerprint cards, a Personal/Criminal History Statement (Form 10) and a background check processing fee.

Who needs to file Form 30?

The main group is the business whose owners, stockholders or members, and officers, directors or managers must be identified to the Montana Gambling Control Division and Liquor Control Division. The form asks for an Account ID No./Liquor License No., and the signer affirms authority to make the application for the applicant and acknowledges that any gambling and/or liquor licenses granted pursuant to the application could be revoked for false information.

Conditions printed on the form:

  • Individual owners, stockholders and members go in the owner tables; officers, directors and managers go in the separate officer tables on page 2.
  • If an entity such as a corporation or partnership holds ownership interest, provide that entity's FEIN and its percentage of ownership.
  • If more than one entity has ownership interest, a separate form must be completed for each entity.
  • People who are leaving the business are listed in the "to be Removed" tables.

The person signing must be authorized to make the application for the applicant, and prints their name and title beneath the signature. The form names no other class of filer and sets no exemption from completing it.

When to file Form 30

No due date is printed on Form 30. It is completed when the people involved with the business must be identified to the divisions, and it has one table for individuals to be listed and another for individuals to be removed, so it records changes in owners, officers, directors or managers as well as the people currently involved.

The form also sets a timing rule for the people it names. For each individual listed, the fingerprint cards, Form 10 and background check processing fee are required unless the individual was previously disclosed to the division in the past two years. Gather those items before you submit so that they go in with the form. For any filing deadline tied to a license application or change, contact the Gambling Control Division at the address on the form.

Documents you need

  • Two fingerprint cards for each individual listed in the owner or officer tables, unless that individual was previously disclosed to the division in the past two years.
  • Personal/Criminal History Statement (Form 10) for each individual listed in the tables, unless that individual was previously disclosed to the division in the past two years.
  • Payment of the background check processing fee for each individual listed, unless that individual was previously disclosed to the division in the past two years; the amount is printed on page 2 of the form.
  • Additional paper, if you need more rows than the tables provide for owners, stockholders, members, officers, directors or managers, including those to be removed.
  • A separate completed Form 30 for each entity, when more than one entity has ownership interest in the business.

How to fill out Form 30

  1. Enter account and tax ID numbers

    At the top of page 1, enter the Account ID No./Liquor License No. and the SSN or FEIN for the business. The form says to print or type.

  2. Enter entity and establishment names

    Write the Entity Name (LLC, LLP, Corp., etc.) and the Establishment Name (DBA).

  3. List the individual owners

    In the first table, list each individual owner, stockholder or member with Name, SSN/FEIN, Date of Birth, % of Ownership and # of Shares. The percentages must total 100%; use additional paper if necessary.

  4. Add entity owners correctly

    If an entity holds ownership interest, give its FEIN and its percentage of ownership. If more than one entity has ownership interest, complete a separate form for each entity.

  5. List owners to be removed

    In the second table, list each individual owner, stockholder or member to be removed, with the same columns: name, SSN/FEIN, date of birth, % of ownership and number of shares.

  6. List officers, directors or managers

    On page 2, list each officer, director or manager with Name, SSN/FEIN, Date of Birth and Title. Use additional paper if necessary.

  7. List officers and managers to be removed

    In the last table on page 2, list each officer, director or manager to be removed, with name, SSN/FEIN, date of birth and title.

  8. Sign and date the affirmation

    The person signing affirms authority to make the application for the applicant and that the answers are true and complete. Enter the signature, the date, and the printed name and title of the person signing.

  9. Review, download and assemble

    Check that ownership totals 100% and every person is in the right table. Download or print the completed PDF from FillingPDF, then assemble the fingerprint cards, Form 10 and fee described under How to submit.

How to submit Form 30

The form names one submission address: the Gambling Control Division, 615 South 27th St., Suite A, Billings, MT 59101. It prints no portal, email address or other channel for Form 30.

Send the signed Business Statement to that address together with the following items for each individual listed in the tables, unless the individual was previously disclosed to the division in the past two years:

  • Two fingerprint cards.
  • A Personal/Criminal History Statement (Form 10).
  • The background check processing fee. The amount is printed on page 2 of the form; the division can confirm it.

Use additional paper if a table runs out of rows, as the form permits. Complete a separate Form 30 for each entity when more than one entity has ownership interest. The Montana Department of Revenue forms repository at https://mtrevenue.gov/forms/index lists the department's forms. FillingPDF lets you fill out and download the PDF; submission follows the channel above.

Common mistakes to avoid

  • Listing ownership percentages that do not total 100%; the form states that shares must add up to 100%.
  • Combining several entity owners on one form when more than one entity has ownership interest; a separate form must be completed for each entity.
  • Leaving out the FEIN of an entity that holds ownership interest in the business.
  • Putting people who are leaving in the main tables instead of the "to be Removed" tables, or the reverse.
  • Listing officers, directors or managers only in the owner tables; they belong in the separate page 2 tables with a title.
  • Submitting the form without the two fingerprint cards, Form 10 or the background check fee for a person not disclosed to the division in the past two years.
  • Leaving the signature block incomplete: signature, date, and printed name and title of the person signing.
  • Sending the package somewhere other than the Gambling Control Division, 615 South 27th St., Suite A, Billings, MT 59101.

Frequently asked questions

What is the business statement Form 30 in Montana?

The Business Statement (Form 30) is a State of Montana form, tied to the DOJ Gambling Control Division and the DOR Liquor Control Division, that identifies the people involved with a business: owners, stockholders, members, officers, directors and managers, with ownership percentages and shares.

Do ownership percentages on the business statement have to equal 100%?

Yes. The form states that shares must add up to 100%, and the % of Ownership column is marked "must total 100%". If an entity owns part of the business, include its FEIN and its percentage of ownership.

What if more than one entity owns the business?

Complete a separate Form 30 for each entity. The form says that when more than one entity has ownership interest in the business, a separate form must be completed for each entity, and that each entity owner's FEIN must be provided.

What do I send with the business statement?

For each individual listed, send two fingerprint cards, a Personal/Criminal History Statement (Form 10) and the background check processing fee. The exception is an individual who was previously disclosed to the division in the past two years.

Where do I send Form 30?

Send it to the Gambling Control Division, 615 South 27th St., Suite A, Billings, MT 59101, together with the items required for each listed individual. The form prints no other submission channel.

Can I remove an owner or officer on this form?

Yes. The form has separate tables for individual owners, stockholders or members to be removed, and for officers, directors or managers to be removed. Enter name, SSN/FEIN, date of birth and, for officers, the title.

Who signs the Business Statement?

A person authorized to make the application for the applicant signs, dates the form and prints their name and title. By signing, they affirm the answers are true and complete.

What happens if the business statement contains false information?

The form warns that false information in the application or attachments may bring criminal penalties under Montana Code Annotated § 45-7-202, 45-7-203, 45-7-208 and 16-4-402, and/or revocation of any gambling or liquor licenses granted pursuant to the application.

Can I fill out the business statement online?

You can fill out the Form 30 PDF online on FillingPDF and download or print it. FillingPDF is an independent service and does not submit the form; you deliver it to the Gambling Control Division yourself.

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