Filing Fee $35.00 for each limited liability company listed
LIMITED LIABILITY COMPANY
STATE OF MAINE
NONCOMMERCIAL REGISTERED AGENT
_____________________
STATEMENT OF
Deputy Secretary of State
APPOINTMENT or CHANGE
(for Maine or Foreign LLC)
A True Copy When Attested By Signature
_____________________
______________________________________
Deputy Secretary of State
(Name of Maine or Foreign Limited Liability Company)
Pursuant to 5 MRSA §§105, 108, &
109
the undersigned limited liability company executes and delivers the following statement of
appointment and/or change of name or address by a noncommercial Registered Agent.
FIRST:
("X" all boxes that apply)
A.
change of address
B.
change to/of noncommercial registered agent and address
C.
change of noncommercial registered agent
D.
change in name of current noncommercial registered agent
SECOND:
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)
_______________________________________________________________________________________________
(mailing address if different from above)
THIRD:
(For foreign limited liability companies only)
Jurisdiction of Organization: _______________________________________________________________________
Date authorized to transact business in the State of Maine: ________________________________________________
Form No. MLLC-3-NCRA (1 of 2)