Filing Fee for an Assumed Name $125.00
Filing Fee for a Fictitious Name $40.00
LIMITED LIABILITY COMPANY
STATE OF MAINE
STATEMENT OF INTENTION TO
_____________________
TRANSACT BUSINESS UNDER AN
Deputy Secretary of State
ASSUMED OR FICTITIOUS NAME
(for Maine or Foreign LLC)
A True Copy When Attested By Signature
______________________________________
_____________________
(Name of Maine or Foreign Limited Liability Company)
Deputy Secretary of State
Pursuant to
31 MRSA
§1510, the undersigned limited liability company executes and delivers the following Statement of Intention to
Transact Business Under an Assumed or Fictitious Name:
FIRST:
("X" one box only.)
assumed name (§1510-1.A)
fictitious name (§1510-1.B)
The limited liability company intends to transact business under the assumed or fictitious name of
_______________________________________________________________________________________.
Note: 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 §1508.
Complete the following if applicable:
SECOND:
If such assumed name is to be used at fewer than all of the limited liability company's places of business in this State,
the location(s) where it will be used is (are):
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Additional locations are attached hereto as Exhibit _____, and made a part hereof.
Form No. MLLC-5 (1 of 2)