FIFTH:
Said document as so corrected is effective as of the date of original filing set forth in Article FIRST, except as to
those persons who are substantially and adversely affected by the correction, and as to those persons the corrected
document shall be effective from the date this certificate of correction is filed by the Secretary of State.
Manager(s)/Member(s)*
DATED __________________________
___________________________________________________
___________________________________________________
(signature)
(type or print name and capacity)
For Manager(s)/Member(s) which are Entities
Name of Entity _________________________________________________________________________________________________
By ________________________________________________
___________________________________________________
(authorized signature)
(type or print name and capacity)
*Certificate MUST be signed by:
(1) at least one manager OR
(2) if there is no manager, by a member
(31 MRSA
§716).
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-17A (2 of 2) Rev. 7/1/2008
TEL. (207) 624-7752