Form Mllc-Acsoa - Amendment Or Cancellation Of Statement Of Authority

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Filing Fee $50.00
LIMITED LIABILITY COMPANY
STATE OF MAINE
AMENDMENT OR CANCELLATION
OF STATEMENT OF AUTHORITY
(for a Maine LLC)
_____________________
Deputy Secretary of State
A True Copy When Attested By Signature
______________________________________
_____________________
(Name of Limited Liability Company)
Deputy Secretary of State
Pursuant to
31 MRSA
§1542.2, the undersigned limited liability company executes and delivers the following Amendment or
Cancellation of Statement of Authority:
FIRST:
The Statement of Authority was originally filed on: _____________________________________
:
SECOND
(“X” one box only)
 Amendment of Statement of Authority:
Person or position the amendment affects: ____________________________________________________________
Description of amendment:
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
 Cancellation of Statement of Authority:
Person or position the cancellation affects: ____________________________________________________________
Description of authority that is being cancelled:
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Additional information is set forth in the attached Exhibit ________, and made a part hereof.
Form No. MLLC-ACSOA (1 of 2)

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