Form Mllc-12f - Statement Of Intention To Do Business Under An Assumed Name Only printable pdf download

Form Mllc-12f - Statement Of Intention To Do Business Under An Assumed Name Only

FOREIGN

LIMITED

LIABILITY

COMPANY

STATE OF MAINE

STATEMENT OF INTENTION

DO BUSINESS UNDER AN

ASSUMED NAME ONL y

(Name of Limited Liability Company in Jurisdiction of Organization)

Pursuant to 31 MRSA §603.2.B., the undersigned limited liability company executes and delivers for fIling this statement of intent:

FIRST:

The address of the registered office of the limited liability company in the State of Maine is

(street, city, state aIKi zip code)

SECOND:

The limited liability

company shall not do business in the State of Maine under its true name as it appears above and

on the record in the jurisdiction

of organization, but shall instead do business in this State under the assumed name of

AU11IORIZED

SIGNA TURE(S)*

DATED

(signattlre)

(type or print name and capacity)

For Authorized Signature(s) on behalf of Entities

Name of Entity

(authorized signattlre)

(tyPe or print name aIxl capacity)

*Certificate MUST be signed by at least one duly authorized person.

The execution of this certificate constitutes an oath or affIrmation under the penalties of false swearing under Title 17 -A, section 453

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

101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101

FORM NO. MLLC-12F

Rev.8/2000

TEL. (201) 287-4195

Form Mllc-12f - Statement Of Intention To Do Business Under An Assumed Name Only