Form Mllc-17 - Statement Of Correction Page 2
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1
2FIFTH:
The statement of correction is effective retroactively as of the effective date of the record the statement corrects, but the
statement is effective when filed as to persons that previously relied on the uncorrected record and would be adversely
affected by the retroactive effect.
*Authorized person
DATED ____________________________________
___________________________________________________
___________________________________________________
(signature)
(type or print name and capacity)
*Authorized person
___________________________________________________
___________________________________________________
(signature)
(type or print name and capacity)
*Pursuant to
31 MRSA
§1676.1B, this certificate 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-17 (2 of 2) 7/1/2011
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