Fill and Sign the Free Maine Limited Liability Company Formpdf Template

_____________________ Deputy Secretary of State A True Copy When Attested By Signature _____________________ Deputy Secretary of State Filing Fee $175.00 MAINE LIMITED LIABILITY COMPANY STATE OF MAINE CERTIFICATE OF FORMATION Pursuant to 31 MRSA §1531 , the undersigned executes and delivers the following Certificate of Formation: FIRST: The name of the limited liability company is: _________________________________________________________\ ______________________________________ (A limited liability company name mu st contain the words “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 com pany, “L3C” or “l3c” – see 31 MRSA 1508.) SECOND: Filing Date: (select one) Date of this filing; or Later effective date (specified here): _____________________________________ THIRD: Designation as a low profit LLC (Check only if applicable): This is a low-profit limited liability company pursuant to 31 MRSA §1611 meeting all qualifications set forth here: A. Th e company intends to qualify as a low-profit limited liability company; B. The company must at all times significantly furt her the accomplishment of one or more of the charitable or educational purposes within the meaning of Section 170(c)(2)(B) of the Internal Revenue Code of 1986, as it may be amended, revised or succeeded, and must list the specific charitable or educational purposes the company will further; C. No significant purpose of the company is the production of income or the appreciation of property. The fact that a person produces significant income or capital appreciation is not, in the absence of other factors, conclusive evidence of a significant purpose involving the production of income or the appreciation of property; and D. No purpose of the company is to accomplish one or more political or legislative purpose within the meaning of Section 170(c)(2)(D) of the Intern al Revenue Code of 1986, or its successor. FOURTH: Designation as a professional LLC (Check only if applicable): This is a professional limited liability company* formed pursuant to 13 MRSA Chapter 22-A to provide the following professional se\ rvices: ______________________________________________________________\ ___________________ _ (Type of professional services) Form No. MLLC-6 (1 of 2) FIFTH: The Registered Agent is a: (select either a Commercial or Noncommercial Registered Agent) Commercial Registered Agent CRA Public Number: ____________________ _____________________________________________________________________\ _____________ (Name of commercial registered agent) Noncommercial Registered Agent _____________________________________________________________________\ _____________ (Name of noncommercial registered agent) _____________________________________________________________________\ _____________ (physical location, not P.O. Box – street, city, state and zip code) _____________________________________________________________________\ _____________ (mailing address if different from above) SIXTH: Pursuant to 5 MRSA §105.2 , the registered agent listed above has consented to serve as the registered agent fo r this limited liability company. SEVENTH: Other matters the members determine to include are set forth in the attached Exhibit ______, and made a part hereof. **Authorized person(s) Dated ________________________________ ___________________________________________________ _________________________________________________ (Signature of authorized person) (Type or print name of authorized person) ___________________________________________________ _________________________________________________ (Signature of authorized person) (Type or print name of authorized person) * E xamples of professional service limited liability co mpanies are accountants, attorneys, chiropractors, dentists, registered nurses and veterinarians. (This is not an inclusive list – see 13 MRSA §723.7) **Pursuant to 31 MRSA §1676.1.A , Certificate of Formation MUST be si gned by at least one authorized person. The execution of this certificate cons titutes an oath or affirmation under the penalties of false swearing under 17-A MRSA §453. Pl ease remit your payment made payabl e to the Maine Secretary of State. Submit completed form to: Secretary of State Division of Corp orations, UCC and Commissions 101 State House Station Augusta, ME 04333-0101 Telephone Inquiries: (207) 624-7752 Email Inquiries: CEC.Corporations@Maine.gov Form No. MLLC-6 (2 of 2) Rev. 10/31/2012 Filer Contact Cover Letter To: Department of the Secretary of State Tel. (207) 624-7752 Division of Corporatio ns, UCC and Commissions 101 State House Station Augusta, ME 04333-0101 Name of Entity (s): _______________________________________________________________________ \ _______________________________________________________________________ \ List type of filing(s) enclosed (i.e. Articles of Incorporation, Articles of Merger, Articles of Amendment, Certificate of Correction, etc.) Attach additional pages as needed. ________________________________________________________________________\ ________________________________________________________________________\ Special handling request(s): (check all that apply) Hold for pick up Expedited filing - 24 hour se rvice ($50 additional filing fee per entity, per service) Expedited filing - Immediate service ($100 a dditional filing fee per entity, per service) Total filing fee(s) enclosed: $ ________________ Contact Information – questions regarding th e above filing(s), please call or email: (failure to provide a contact name and telephone number or email address will result in the return of the erroneous filing (s) by the Secretary of St ate’s office) ___________________________________ ___________________________________ (Name of contact person) (Daytime telephone number) ____________________________________________________ (Email address) The enclosed filing(s) and fee(s) are submitted for f iling. Please return the attested copy to the following address: ________________________________________________________________________\ ______ (Name of attested recipient) _____________________________________________________________________________________________ (Firm or Company) _____________________________________________________________________________________________ (Mailing Address) _____________________________________________________________________________________________ (City, State & Zip)