Form Mllc-2 - Application For Registration Of Name - 2008 Page 2

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DATED __________________________
*By ___________________________________________________
(signature of a manager or member)
____________________________________________________
(type or print name and capacity)
The filing of this application does not authorize a limited liability company to do business in Maine.
*Certificate MUST be signed by
(1) at least one manager OR
(2) if there is no manager, by a member, except as otherwise provided (§721.1).
The execution of this certificate constitutes an oath or affirmation under the penalties of false swearing under
Title 17-A, section
453.
Please remit your payment made payable to the Maine Secretary of State.
SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE,
101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101
FORM NO. MLLC-2 (2 of 2) Rev. 10-20-2008
TEL. (207) 624-7740

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