Form Mllc-12 - Foreign Limited Liability Company Application For Authority To Do Business - 2005

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FOREIGN
Filing Fee $250.00
LIMITED LIABILITY COMPANY
STATE OF MAINE
APPLICATION FOR AUTHORITY
TO DO BUSINESS
_____________________
(Check box only if applicable)
Deputy Secretary of State
This is a professional limited liability company*qualified
pursuant to
13 MRSA Chapter 22-A
to provide the
A True Copy When Attested By Signature
following professional services:
______________________________________
_____________________
Deputy Secretary of State
______________________________________
(type of professional services)
Pursuant to
31 MRSA
§712.3, the undersigned limited liability company executes and delivers the following Application for Authority to
do Business:
FIRST:
The name of Limited Liability Company** in Jurisdiction of Organization is
_______________________________________________________________________________________________
SECOND:
If the real limited liability company name is not available, the fictitious name under which it proposes to apply for
authority to do business in the State of Maine is (If not applicable, so indicate.)
______________________________________________________________________________________________.
Form MLLC-5 accompanies this application.
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.
THIRD:
(For professional limited liability companies only)
All of the professional limited liability companies’ members and managers, if any, are licensed in one or more states to
render a professional service disclosed in its application.
FOURTH:
Date of organization ________________________ Jurisdiction of organization _______________________________
Address of the registered or principal office, wherever located, is:
_________________________________________________________________________________________
(physical location - street (not P.O. Box), city, state and zip code)
_________________________________________________________________________________________
(mailing address if different from above)
FIFTH:
The foreign limited liability company validly exists as a limited liability company under the laws of the jurisdiction of
its organization. The nature of the business or purposes to be conducted or promoted in the State of Maine is
______________________________________________________________________________________________.
FORM NO. MLLC-12 (1 of 3)

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