Filing Fee $150.00
LIMITED LIABILITY COMPANY
STATE OF MAINE
_____________________
APPLICATION FOR
Deputy Secretary of State
CERTIFICATE OF REVIVAL
(Maine Entities Only)
A True Copy When Attested By Signature
_____________________
Deputy Secretary of State
Pursuant to
31 MRSA
§1604, the undersigned executes and delivers the following Application for Certificate of Revival:
FIRST:
The name of the limited liability company prior to revival: __________________________________________________
SECOND:
The name of the limited liability company following revival (if different): _______________________________________
THIRD:
The formation date of the limited liability company: ________________________________________________________
FOURTH:
The date of dissolution of the limited liability company (if known): _________________________________
FIFTH:
The name and address of the registered agent of the limited liability company prior to revival. (If no agent, the required
information pursuant to
5 MRSA, Chapter 6-A
must accompany this application.
(MLLC-3-CRA
or MLLC-3-NCRA- fee
required)
_______________________________________________________________________________________________
(name of registered agent)
_______________________________________________________________________________________________
(street, city, state and zip code)
SIXTH:
The purpose or purposes for which this revival is requested:
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Form No. MLLC-Revive (1 of 2)