Form Mllc-5 - Statement Of Intention To Do Business Under An Assumed Or Fictitious Name - Maine Secretary Of State

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Filing Fee for an Assumed Name $105.00
Filing Fee for a Fictitious Name $20.00
LIMITED LIABILITY COMPANY
STATE OF MAINE
STATEMENT OF INTENTION TO DO
_____________________
BUSINESS UNDER AN ASSUMED
Deputy Secretary of State
OR FICTITIOUS NAME
A True Copy When Attested By Signature
_____________________
______________________________________
Deputy Secretary of State
(Real Name of Limited Liability Company)
Pursuant to 31 MRSA §605-A, the undersigned limited liability company executes and delivers the following Statement of Intention to do
Business Under an Assumed or Fictitious Name:
FIRST:
("X" one box only.)
assumed name (§605-A.1)
fictitious name (§605-A.2)
The limited liability company intends to transact business under the assumed or fictitious name of
______________________________________________________________________________________________.
Please 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 §603-A.
Complete the following if applicable:
If such assumed name is to be used at fewer than all of the limited liability company's places of business in this State,
SECOND:
the location(s) where it will be used is (are):
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Additional locations are attached hereto as Exhibit ___, and made a part hereof.
THIRD:
(Foreign Limited Liability Company Only)
Jurisdiction of organization ______________________________________________________ and the date on which
the limited liability company was authorized to transact business in Maine ___________________________________.
FORM NO. MLLC-5 (1 of 2)

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