Free DOMESTIC - Maine

Filing Fee $35.00

LIMITED LIABILITY COMPANY STATE OF MAINE COMMERCIAL REGISTERED AGENT

STATEMENT OF APPOINTMENT or CHANGE

_____________________ Deputy Secretary of State

A True Copy When Attested By Signature

______________________________________
(Name of Limited Liability Company)

_____________________ Deputy Secretary of State

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. (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: [email protected]

FOURTH:

Form No. MLLC-3-CRA 7/1/2008

Filer Contact Cover Letter

To:

Department of the Secretary of State Division of Corporations, UCC and Commissions 101 State House Station Augusta, ME 04333-0101

Tel. (207) 624-7752

Name of Entity (s): _______________________________________________________________________ _______________________________________________________________________ List type of filing(s) enclosed (i.e. Articles of Incorporation, Articles of Merger, Articles of Amendment, Certificate
of Correction, etc.) Attach additional pages as needed.

________________________________________________________________________ ________________________________________________________________________ Special handling request(s): (check all that apply) Hold for pick up Expedited filing - 24 hour service ($50 additional filing fee per entity, per service) Expedited filing - Immediate service ($100 additional filing fee per entity, per service) Total filing fee(s) enclosed: $ ________________ Contact Information ­ questions regarding the above filing(s), please call or email: (failure to provide a contact name and telephone number or email address will result in the return of the erroneous filing (s) by the Secretary of State's office) ___________________________________
(Name of contact person)

___________________________________
(Daytime telephone number)

____________________________________________________
(Email address)

The enclosed filing(s) and fee(s) are submitted for filing. Please return the attested copy to the following address:

______________________________________________________________________________
(Name of attested recipient)

_____________________________________________________________________________________________
(Firm or Company)

_____________________________________________________________________________________________
(Mailing Address)

_____________________________________________________________________________________________
(City, State & Zip)