Form Mllc-10a - Limited Liability Company Certificate Of Consolidation Page 2
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1
2EIGHTH:
If the resulting limited liability company is not organized under the laws of this State, the survivor:
(1)
Agrees that it may be served with process in this State in a proceeding for enforcement of an
obligation of a party to the consolidation that was organized under the laws of this State, as well as for
enforcement of an obligation of the new limited liability company arising from the consolidation; and
(2)
Appoints the Secretary of State as its agent for service of process in any such proceeding. The
following is the address to which a copy of the process must be mailed by the Secretary of State:
_______________________________________________________________________________________
_______________________________________________________________________________________
Name of participating domestic limited liability company ____________________________________________________________
DATED __________________________
Manager(s)/Member(s)*
__________________________________________________
___________________________________________________
(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)
Name and jurisdiction of participating limited liability company ______________________________________________________
DATED ______________________________________
Manager(s)/Member(s)*
__________________________________________________
___________________________________________________
(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)
(Use additional sheets if necessary)
*Certificate MUST be signed by:
(1) at least one manager 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 17-A MRSA §453.
Please remit your payment made payable to the Maine Secretary of State
Submit completed form to:
Secretary of State
Division of Corporations, UCC and Commissions
101 State House Station
Augusta, ME 04333-0101
Telephone Inquiries: (207) 624-7752
Email Inquiries:
CEC.Corporations@Maine.gov
FORM NO. MLLC-10A (2 of 2) Rev.10/21/2009
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