Filing Fee $35.00
LIMITED LIABILITY COMPANY
STATE OF MAINE
COMMERCIAL REGISTERED AGENT
STATEMENT OF
_____________________
APPOINTMENT or CHANGE
Deputy Secretary of State
(for a Maine or Foreign LLC)
A True Copy When Attested By Signature
___________________________________________
(Name of Maine or Foreign Limited Liability Company)
_____________________
Deputy Secretary of State
Pursuant to 5 MRSA
§§105
&
108,
the undersigned limited liability company executes and delivers the following statement of
appointment or change of a commercial registered agent.
FIRST:
The name and address of the current registered agent appearing on the record in the Secretary of State's office:
________________________________________________________________________________
(name of current registered agent)
________________________________________________________________________________
(physical street address, city, state and zip code)
SECOND:
The new CRA Public number is: __________________________
The name of the new CRA is: ________________________________________________________
THIRD:
Pursuant to 5 MRSA
§§105.2
& 108.3, the new commercial registered agent listed above has consented to serve as the
registered agent for this limited liability company.
FOURTH:
(For foreign limited liability companies only)
Jurisdiction of organization: __________________________________________________________________
Date authorized to transact business in the State of Maine: ___________________________________________
Dated _________________________
*By
_______________________________________________
(authorized signature)
_______________________________________________
(type or print name and capacity)
*Pursuant to
31 MRSA
§1676.1B, this statement MUST be signed by a person authorized by the limited liability company.
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-3-CRA 7/1/2011