Form Mllc-2 - Application For Registration Of Name - State Of Maine Page 2

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AU11IORIZED
SIGNA TURE(S)*
DATED
(signattlre)
(type or print name aIKl capacity)
For Authorized Signature(s) on behalf of Entities
Name
of Entity
By
(authorized signature}
(type or print name aIxl capacity)
.THE
FILING
OF THIS
APPLICAnON
DOES NQI. AUTHORIZE
A LIMITED
LIABILITY
COMPANY
TO DO
BUSINESS IN MAINE.
*Certificate ~
be signed by
(I)
at least one man@ger 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.
SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECnON, SECRETARY OF STATE,
101 STATE HOUSE STAnON, AUGUSTA, ME 04333-0101
FORM NO. MLLC-2
Rev. 712000
TEL. (207) 287-4195

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