Filing Fee $50.00
DOMESTIC LIMITED LIABILITY COMPANY STATE OF MAINE
ARTICLES OF AMENDMENT BY LIQUIDATING TRUSTEES
_____________________ Deputy Secretary of State A True Copy When Attested By Signature
______________________________________
(Name of Limited Liability Company)
_____________________ Deputy Secretary of State
Pursuant to 31 MRSA §623.5, the undersigned deliver(s) the following amendment to the articles of organization of limited liability company prior to cancellation:
The name and business, residence or mailing address of each liquidating trustee is:
Name
Address
____________________________________ ____________________________________ ____________________________________
____________________________________________________ ____________________________________________________ ____________________________________________________
Names and addresses of additional liquidating trustees are attached hereto as Exhibit ___, and made a part hereof.
FORM NO. MLLC-11T (1 of 2)
DATED __________________________
Liquidating Trustee(s)* ___________________________________________________
(signature)
___________________________________________________ (type or print name) ___________________________________________________
(type or print name)
___________________________________________________
(signature)
___________________________________________________
(signature)
___________________________________________________
(type or print name)
For Liquidating Trustee(s) which are 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)
*Articles MUST be signed by: (1) all liquidating trustees OR (2) 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 Maine Secretary of State. SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE, 101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101 FORM NO. MLLC-11T (2 of 2) Rev. 8/1/2004 TEL. (207) 624-7752