Form Mllc-12-1 - Application For Authority To Do Business (2003)
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1
2(Application for Authority to do Business pursuant to
31 MRSA §712.3
to accompany Application for Transfer of Authority)
FIRST:
The name of the limited liability company is ___________________________________________________________.
If the real limited liability company name is not available, the fictitious name under which it proposes to apply for
SECOND:
authority to do business in the State of Maine is (If not applicable, so indicate.)
______________________________________________________________________________________________.
Form MLLC-5 accompanies this application.
A fictitious name is a name adopted by a foreign limited liability company authorized to transact business in this
State because its real name is unavailable pursuant to §603-A.
THIRD:
Date of organization ________________________ Jurisdiction of organization _______________________________
Address of the registered or principal office, wherever located, is:
_______________________________________________________________________________________________
(physical location - street (not P.O. Box), city, state and zip code)
_______________________________________________________________________________________________
(mailing address if different from above)
FOURTH:
The foreign limited liability company validly exists as a limited liability company under the laws of the jurisdiction of
its organization. The nature of the business or purposes to be conducted or promoted in the State of Maine is
______________________________________________________________________________________________.
FIFTH:
The name of its Registered Agent, an individual Maine resident or a corporation, foreign or domestic, authorized to do
business or carry on activities in Maine, and the address of the registered office shall be:
_______________________________________________________________________________________________
(name)
_______________________________________________________________________________________________
(physical location - street (not P.O. Box), city, state and zip code)
_______________________________________________________________________________________________
(mailing address if different from above)
The Secretary of State of Maine is an agent upon whom service of process may be served pursuant to §722.3.
SIXTH:
The name and business, residence or mailing address of each manager, if any, is
NAME
ADDRESS
____________________________________
___________________________________________________
____________________________________
___________________________________________________
____________________________________
___________________________________________________
Names and addresses of additional managers are attached hereto as Exhibit ____, and made a part hereof.
FORM NO. MLLC-12-1 (1 of 2)
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