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Form Mllc-6a - Form For Rest A Ted Articles Of Organization Of Limited Liability Company Page 2

MAN A GER(S)/MEMBER(S) *

DATED

(signature)

(type or print name aIKl capacity)

(signattlre)

(tyPe or print name aIx! capacity)

(signatJJre)

(type or print name and capacity)

For Manager(s)/Member(s) which are Entities

Name of Entity

(authorized signawre)

(type or print name aOO capacity)

Name of Entity

(authorized signattlre)

(tyPe or print name aOO capacity)

Name of Entity

(authorized signature)

(tyPe or print name and capacity)

(Complete next section QNLX if agent has changed.)

THE FOLLOWING

MUST

BE COMPLETED

BY THE REGISTERED

AGENT

(§607 .2.).

The undersigned hereby accepts the appointment as registered agent for the above named limited liability

company,

REGISTERED AGENT

DATED

(type or print name)

(signature)

For Registered Agent which is a Corporation

Name of Corporation

(authorized signattlre)

(type or print name am capacity)

*Restated articles MUST be signed by

(I)

at least one man82er OR

(2)

at least one member if the limited liability company is managed by the members OR

(3)

any duly authorized person.

The execution of this certificate constitutes an oath or affIrmation under the penalties of false swearing under Title l7-A, section 453

SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECnON, SECRETARY OF STATE,

101 STATE HOUSE STAnON, AUGUSTA, ME 04333-0101

FORM NO. MLLC-6A

Rev.8/2000

TEL. (201) 287-4195

Form Mllc-6a - Form For Rest A Ted Articles Of Organization Of Limited Liability Company Page 2

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