diff --git a/ext/opentelemetry-ext-azure-monitor/README.rst b/ext/opentelemetry-ext-azure-monitor/README.rst
new file mode 100644
index 00000000000..d8c3e160742
--- /dev/null
+++ b/ext/opentelemetry-ext-azure-monitor/README.rst
@@ -0,0 +1,10 @@
+OpenTelemetry Azure Monitor Exporters
+=====================================
+
+This library provides integration with Microsoft Azure Monitor.
+
+References
+----------
+
+* `Azure Monitor <https://docs.microsoft.com/azure/azure-monitor/>`_
+* `OpenTelemetry Project <https://opentelemetry.io/>`_
diff --git a/ext/opentelemetry-ext-azure-monitor/examples/trace.py b/ext/opentelemetry-ext-azure-monitor/examples/trace.py
new file mode 100644
index 00000000000..49b38c051dd
--- /dev/null
+++ b/ext/opentelemetry-ext-azure-monitor/examples/trace.py
@@ -0,0 +1,13 @@
+from opentelemetry import trace
+from opentelemetry.ext.azure_monitor import AzureMonitorSpanExporter
+from opentelemetry.sdk.trace import Tracer
+from opentelemetry.sdk.trace.export import SimpleExportSpanProcessor
+
+trace.set_preferred_tracer_implementation(lambda T: Tracer())
+tracer = trace.tracer()
+tracer.add_span_processor(
+    SimpleExportSpanProcessor(AzureMonitorSpanExporter())
+)
+
+with tracer.start_span("hello") as span:
+    print("Hello, World!")
diff --git a/ext/opentelemetry-ext-azure-monitor/setup.cfg b/ext/opentelemetry-ext-azure-monitor/setup.cfg
new file mode 100644
index 00000000000..3110ed35312
--- /dev/null
+++ b/ext/opentelemetry-ext-azure-monitor/setup.cfg
@@ -0,0 +1,46 @@
+# Copyright 2019, OpenTelemetry Authors
+#
+# Licensed under the Apache License, Version 2.0 (the "License");
+# you may not use this file except in compliance with the License.
+# You may obtain a copy of the License at
+#
+#     http://www.apache.org/licenses/LICENSE-2.0
+#
+# Unless required by applicable law or agreed to in writing, software
+# distributed under the License is distributed on an "AS IS" BASIS,
+# WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
+# See the License for the specific language governing permissions and
+# limitations under the License.
+#
+[metadata]
+name = opentelemetry-ext-azure-monitor
+description = Azure Monitor integration for OpenTelemetry
+long_description = file: README.rst
+long_description_content_type = text/x-rst
+author = OpenTelemetry Authors
+author_email = cncf-opentelemetry-contributors@lists.cncf.io
+url = https://github.com/open-telemetry/opentelemetry-python/ext/opentelemetry-ext-azure-monitor
+platforms = any
+license = Apache-2.0
+classifiers =
+    Development Status :: 3 - Alpha
+    Intended Audience :: Developers
+    License :: OSI Approved :: Apache Software License
+    Programming Language :: Python
+    Programming Language :: Python :: 3
+    Programming Language :: Python :: 3.4
+    Programming Language :: Python :: 3.5
+    Programming Language :: Python :: 3.6
+    Programming Language :: Python :: 3.7
+
+[options]
+python_requires = >=3.4
+package_dir=
+    =src
+packages=find_namespace:
+install_requires =
+    opentelemetry-api
+    opentelemetry-sdk
+
+[options.packages.find]
+where = src
diff --git a/ext/opentelemetry-ext-azure-monitor/setup.py b/ext/opentelemetry-ext-azure-monitor/setup.py
new file mode 100644
index 00000000000..5f8afcb23a2
--- /dev/null
+++ b/ext/opentelemetry-ext-azure-monitor/setup.py
@@ -0,0 +1,26 @@
+# Copyright 2019, OpenTelemetry Authors
+#
+# Licensed under the Apache License, Version 2.0 (the "License");
+# you may not use this file except in compliance with the License.
+# You may obtain a copy of the License at
+#
+#     http://www.apache.org/licenses/LICENSE-2.0
+#
+# Unless required by applicable law or agreed to in writing, software
+# distributed under the License is distributed on an "AS IS" BASIS,
+# WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
+# See the License for the specific language governing permissions and
+# limitations under the License.
+import os
+
+import setuptools
+
+BASE_DIR = os.path.dirname(__file__)
+VERSION_FILENAME = os.path.join(
+    BASE_DIR, "src", "opentelemetry", "ext", "azure_monitor", "version.py"
+)
+PACKAGE_INFO = {}
+with open(VERSION_FILENAME) as f:
+    exec(f.read(), PACKAGE_INFO)
+
+setuptools.setup(version=PACKAGE_INFO["__version__"])
diff --git a/ext/opentelemetry-ext-azure-monitor/src/opentelemetry/ext/azure_monitor/__init__.py b/ext/opentelemetry-ext-azure-monitor/src/opentelemetry/ext/azure_monitor/__init__.py
new file mode 100644
index 00000000000..81222c546eb
--- /dev/null
+++ b/ext/opentelemetry-ext-azure-monitor/src/opentelemetry/ext/azure_monitor/__init__.py
@@ -0,0 +1,23 @@
+# Copyright 2019, OpenTelemetry Authors
+#
+# Licensed under the Apache License, Version 2.0 (the "License");
+# you may not use this file except in compliance with the License.
+# You may obtain a copy of the License at
+#
+#     http://www.apache.org/licenses/LICENSE-2.0
+#
+# Unless required by applicable law or agreed to in writing, software
+# distributed under the License is distributed on an "AS IS" BASIS,
+# WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
+# See the License for the specific language governing permissions and
+# limitations under the License.
+
+"""
+The opentelemetry-ext-azure-monitor package provides integration with
+Microsoft Azure Monitor.
+"""
+
+from opentelemetry.ext.azure_monitor.trace import AzureMonitorSpanExporter
+from opentelemetry.ext.azure_monitor.version import __version__  # noqa
+
+__all__ = ["AzureMonitorSpanExporter"]
diff --git a/ext/opentelemetry-ext-azure-monitor/src/opentelemetry/ext/azure_monitor/trace.py b/ext/opentelemetry-ext-azure-monitor/src/opentelemetry/ext/azure_monitor/trace.py
new file mode 100644
index 00000000000..a65cdd92a11
--- /dev/null
+++ b/ext/opentelemetry-ext-azure-monitor/src/opentelemetry/ext/azure_monitor/trace.py
@@ -0,0 +1,25 @@
+# Copyright 2019, OpenTelemetry Authors
+#
+# Licensed under the Apache License, Version 2.0 (the "License");
+# you may not use this file except in compliance with the License.
+# You may obtain a copy of the License at
+#
+#     http://www.apache.org/licenses/LICENSE-2.0
+#
+# Unless required by applicable law or agreed to in writing, software
+# distributed under the License is distributed on an "AS IS" BASIS,
+# WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
+# See the License for the specific language governing permissions and
+# limitations under the License.
+
+from opentelemetry.sdk.trace.export import SpanExporter, SpanExportResult
+
+
+class AzureMonitorSpanExporter(SpanExporter):
+    def __init__(self):
+        pass
+
+    def export(self, spans):
+        for span in spans:
+            print(span)  # TODO: add actual implementation here
+        return SpanExportResult.SUCCESS
diff --git a/ext/opentelemetry-ext-azure-monitor/src/opentelemetry/ext/azure_monitor/version.py b/ext/opentelemetry-ext-azure-monitor/src/opentelemetry/ext/azure_monitor/version.py
new file mode 100644
index 00000000000..a457c2b6651
--- /dev/null
+++ b/ext/opentelemetry-ext-azure-monitor/src/opentelemetry/ext/azure_monitor/version.py
@@ -0,0 +1,15 @@
+# Copyright 2019, OpenTelemetry Authors
+#
+# Licensed under the Apache License, Version 2.0 (the "License");
+# you may not use this file except in compliance with the License.
+# You may obtain a copy of the License at
+#
+#     http://www.apache.org/licenses/LICENSE-2.0
+#
+# Unless required by applicable law or agreed to in writing, software
+# distributed under the License is distributed on an "AS IS" BASIS,
+# WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
+# See the License for the specific language governing permissions and
+# limitations under the License.
+
+__version__ = "0.1.dev0"
diff --git a/ext/opentelemetry-ext-azure-monitor/tests/__init__.py b/ext/opentelemetry-ext-azure-monitor/tests/__init__.py
new file mode 100644
index 00000000000..e69de29bb2d
diff --git a/tox.ini b/tox.ini
index d0fb6cc2dc4..871931dc55a 100644
--- a/tox.ini
+++ b/tox.ini
@@ -66,6 +66,7 @@ deps =
 commands_pre =
   pip install -e {toxinidir}/opentelemetry-api
   pip install -e {toxinidir}/opentelemetry-sdk
+  pip install -e {toxinidir}/ext/opentelemetry-ext-azure-monitor
   pip install -e {toxinidir}/ext/opentelemetry-ext-wsgi
   pip install -e {toxinidir}/ext/opentelemetry-ext-http-requests
   pip install -e {toxinidir}/opentelemetry-example-app
@@ -78,6 +79,9 @@ commands =
          opentelemetry-api/tests/ \
          opentelemetry-sdk/src/opentelemetry \
          opentelemetry-sdk/tests/ \
+         ext/opentelemetry-ext-azure-monitor/examples/ \
+         ext/opentelemetry-ext-azure-monitor/src/ \
+         ext/opentelemetry-ext-azure-monitor/tests/ \
          ext/opentelemetry-ext-http-requests/src/ \
          ext/opentelemetry-ext-http-requests/tests/ \
          ext/opentelemetry-ext-wsgi/tests/ \