Form Mllc-12 - Foreign Limited Liability Company - Statement Of Foreign Qualification To Conduct Activities/filer Contact Cover Letter Template

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Filing Fee $250.00
FOREIGN
LIMITED LIABILITY COMPANY
STATE OF MAINE
STATEMENT OF FOREIGN QUALIFICATION
_____________________
TO CONDUCT ACTIVITIES
Deputy Secretary of State
A True Copy When Attested By Signature
______________________________________
_____________________
Deputy Secretary of State
(Name of Limited Liability Company in Jurisdiction of Organization)
Pursuant to
31 MRSA
§1622, the undersigned limited liability company executes and delivers the following Statement of Foreign
Qualification:
FIRST:
If the name of the limited liability company in the jurisdiction of organization does not contain one of the words or
abbreviations required by
31 MRSA § 1508.1
(“limited liability company” or “limited company” or the abbreviation
“L.L.C.,” “LLC,” “L.C.” or “LC” or, in the case of a low-profit limited liability company, “L3C” or “l3c”), the
proposed name to be used in this State in compliance with this requirement is: * (If not applicable, so indicate.)
_______________________________________________________________________________________________
SECOND:
If the name of the limited liability company in the jurisdiction of organization is unavailable pursuant to
31 MRSA
§1508, the fictitious name under which it seeks authority to conduct activities in the State of Maine is: (If not
applicable, so indicate.)
______________________________________________________________________________________________
Form
MLLC-5
accompanies this application. (See
31 MRSA §
1624.1)
THIRD:
Date of formation: ________________________ Jurisdiction where formed: _______________________________
Address of the principal office, wherever located:
_________________________________________________________________________________________
(physical location - street (not P.O. Box), city, state and zip code)
_________________________________________________________________________________________
(mailing address if different from above)
FOURTH:
The foreign limited liability company is a foreign limited liability company as defined in
31 MRSA §1502.11.
FIFTH:
The nature of the business or purpose(s) to be conducted or promoted in the State of Maine is:
__________________________________________________________________________________________.
Form No. MLLC-12 (1 of 3)

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