Form Mllc-Iic - Certificate Of Cancellation Of Articles Of Organization Of Limited Liability Company - Maine Secretary Of State Page 2

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DATED
AUTHORIZED SIGNA TURE(S)*
(signature)
(tyPe or print name aIxl capacity)
(signature)
(type or print name and capacity)
(signature)
(type or print name aIKl capacity)
For Authorized Signature(s) on behalf of Entities
Name of Entity
By
(authorized signature)
(tyPe or print name and capacity)
Name of Entity
By
Name of Entity
By
(authorized signature)
(type or print name and capacity)
*Certificate ~
be signed by
(1)
aIl managers OR
(2)
if neither the manager nor the members are winding up the limited liability company's affairs, then by allliauidatinl!
trustees
OR
(3)
if the members are winding up the limited liability company's affairs, then by a majority in interest of the members OR
(4)
any duly authorized person.
The execution of this certificate constitutes an oath or afftrmation under the penalties of false swearing under Title 17 -A, section 453.
SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE,
101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101
FORM NO. MLLC-IIC
Rev.8/2000
TEL. (207) 287-4195

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