Filing Fee $75.00
DOMESTIC LIMITED LIABILITY COMPANY STATE OF MAINE
CERTIFICATE OF CANCELLATION OF ARTICLES OF ORGANIZATION OF LIMITED LIABILITY COMPANY ______________________________________
(Name of Limited Liability Company)
_____________________ Deputy Secretary of State A True Copy When Attested By Signature _____________________ Deputy Secretary of State
Pursuant to 31 MRSA §625, the undersigned deliver(s) the following certificate of cancellation: FIRST: The date the original articles of organization of limited liability company were filed: __________________________
SECOND:
The reason for filing this certificate of cancellation is: ________________________________________________________________________________________________ ________________________________________________________________________________________________
THIRD:
The effective date of the cancellation shall be
the date of filing of this certificate
as follows: ____________
(Notice: upon filing this Certificate, the limited liability company shall be removed from the active records of the Secretary of State.)
FOURTH:
Other provisions of this certificate, if any, are set forth in Exhibit ___ attached hereto and made a part hereof.
FORM NO. MLLC-11C (1 of 2)
DATED __________________________
Authorized Signature(s)* ___________________________________________________
(signature)
___________________________________________________
(type or print name and capacity)
___________________________________________________
(signature)
___________________________________________________
(type or print name and capacity)
___________________________________________________
(signature)
___________________________________________________
(type or print name and capacity)
For Authorized Signature(s) on behalf of Entities Name of Entity _________________________________________________________________________________________________ By ________________________________________________
(authorized signature)
___________________________________________________
(type or print name and capacity)
Name of Entity _________________________________________________________________________________________________ By ________________________________________________
(authorized signature)
___________________________________________________
(type or print name and capacity)
Name of Entity _________________________________________________________________________________________________ By ________________________________________________
(authorized signature)
___________________________________________________
(type or print name and capacity)
*Certificate MUST be signed by: (1) all managers OR (2) if neither the manager nor the members are winding up the affairs of the limited liability company, then by all liquidating trustees OR (3) if the members are winding up the affairs of the limited liability company, then by a majority in interest of the members OR (4) any duly authorized person. The execution of this certificate constitutes an oath or affirmation under the penalties of false swearing under 17-A MRSA §453. Please remit your payment made payable to the Secretary of State SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE, 101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101 FORM NO. MLLC-11C (2 of 2) Rev. 8/1/2004 TEL. (207) 624-7752