Form Mllc-6a - Limited Liability Company Restated Certificate Of Formation - 2011 Page 2
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1
2
3FIFTH:
The Registered Agent is a: (select either a Commercial or Noncommercial Registered Agent)
Commercial Registered Agent
CRA Public Number: ____________________
__________________________________________________________________________________
(name of commercial registered agent)
Noncommercial Registered Agent
__________________________________________________________________________________
(name of noncommercial registered agent)
__________________________________________________________________________________
(physical location, not P.O. Box – street, city, state and zip code)
__________________________________________________________________________________
(mailing address if different from above)
SIXTH:
Pursuant to 5 MRSA
§§105.2
or 108.3, the registered agent as listed above has consented to serve as the registered
agent for this limited liability company.
SEVENTH:
Other matters the members determine to include are set forth in the attached Exhibit ______, and made a part hereof.
**Authorized Person(s)
Dated: _______________________________
___________________________________________________
___________________________________________________
(signature)
(type or print name and capacity)
___________________________________________________
___________________________________________________
(signature)
(type or print name and capacity)
___________________________________________________
___________________________________________________
(signature)
(type or print name and capacity)
*Examples of professional service limited liability companies are accountants, attorneys, chiropractors, dentists, registered nurses and
veterinarians. (This is not an inclusive list – see
13 MRSA
§723)
**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-6A (2 of 2) 7/1/2011
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