FIFTH:
The undersigned registered agent of the following limited liability company(ies), who has changed the address of the
registered office OR who has changed his or her name, has notified each limited liability company of the change
indicated in Item Third A or D:
Name of Limited Liability Company
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
Names of additional limited liability companies attached hereto as Exhibit ___, and made a part hereof.
Note:
The following must be signed by the proper person as designed below.*
DATED _________________________
*By ____________________________________________________
(signature)
____________________________________________________
(type or print name and capacity)
Acceptance of Appointment of New Registered Agent
The undersigned hereby accepts the appointment as registered agent for the above-named limited liability company.
Registered Agent
DATED __________________________
___________________________________________________
___________________________________________________
)
(signature)
(type or print name
For Registered Agent which is a Corporation
Name of Corporation _____________________________________________________________________________________________
By ________________________________________________
___________________________________________________
(authorized signature)
(type or print name and capacity)
Note:
If this document changes the Registered Agent and the new Registered Agent does not sign, Form
MLLC-18 (31 MRSA
§607.2) must accompany this document.
*This certificate MUST be signed as follows:
(1) if Item First, A. was selected, then by the Registered Agent OR
(2) if Item First, B. or C. was selected, at least one manager OR at least one member if the limited liability company is
managed by the members OR any duly authorized person OR
(3) if Item First, D. was selected, then by the Registered Agent.
Please remit your payment made payable to the Maine Secretary of State.
SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE,
101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101
FORM NO. MLLC-3 (2 of 2) Rev. 8/1/2004
TEL. (207) 624-7740