Filing Fee $35.00
LIMITED LIABILITY COMPANY
STATE OF MAINE
COMMERCIAL REGISTERED AGENT
_____________________
STATEMENT OF
Deputy Secretary of State
APPOINTMENT or CHANGE
A True Copy When Attested By Signature
______________________________________
_____________________
Deputy Secretary of State
(Name of Limited Liability Company)
Pursuant to
5 MRSA §§105
&
108
the undersigned limited liability company executes and delivers the following statement of
appointment or change of a commercial Registered Agent.
FIRST:
The name and address of the current registered agent appearing on the record in the Secretary of State's office:
________________________________________________________________________________
(name of current registered agent)
________________________________________________________________________________
(physical street address, city, state and zip code)
SECOND:
The new CRA Public number is: __________________________
The name of the new CRA is: ________________________________________________________
THIRD:
Pursuant to
5 MRSA
§108.3, the registered agent as listed above has consented to serve as the registered
agent for this limited liability company.
FOURTH:
(For foreign limited liability companies only)
Jurisdiction of Organization: __________________________________________________________________
Date authorized to transact business in the State of Maine: ___________________________________________
Dated _________________________
*By
_______________________________________________
(signature)
_______________________________________________
(type or print name and capacity)
*This statement MUST be signed by:
(1) at least one manager OR
(2) at least one member if the limited liability company is managed by the members OR
(3) any duly authorized person.
Please remit your payment made payable to the Maine Secretary of State.
Submit completed form to:
Secretary of State
Division of Corporations, UCC and Commissions
101 State House Station, Augusta, ME 04333-0101
Telephone Inquiries: (207) 624-7752
Email Inquiries:
CEC.Corporations@Maine.gov
Form No. MLLC-3-CRA 7/1/2008