_____________________
Deputy Secretary of State
Filing Fee $35.00
FOREIGN
BUSINESS CORPORATION
STATE OF MAINE
A True Copy When Attested By Signature
_____________________
Deputy Secretary of State
COMMERCIAL REGISTERED AGENT
STATEMENT OF
APPOINTMENT or CHANGE
_____________________________________________ (Name of Corporation)
Pursuant to
5 MRSA §§105 & 108 the undersigned corporation executes and delivers the following statement of appointment or change
of a commercial registered agent. FIRST: The name and address of the current re gistered agent appearing on the record in the Secretary of State's office:
_______________________________________________________________________________
(name of current registered agent) _______________________________________________________________________________
(physical st reet address, city, state and zip code)
SECOND: The new CRA Public number is: __________________________
The name of the new CRA is: _______________________________________________________
THIRD: Pursuant to
5 MRSA §108.3 , the registered agent as listed above has consented to serve as the registered
agent for this corporation.
FOURTH: Jurisdiction of incorporation: ________________________________________________________________
Date authorized to transact business in the State of Maine: __________________________________________
Dated _________________________ *By ______________________________________________
( s ig natu re )
_______________________________________________
(type or print name and capacity)
* This statement MUST be signed by any duly authorized officer.
Please 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. MBCA-12D-CRA 7/1/2008
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)
_____________________
Deputy Secretary of State
A True Copy When Attested By Signature
_____________________
Deputy Secretary of State
Filing Fee $35.00 for each corporation listed
FOREIGN
BUSINESS CORPORATION
STATE OF MAINE
NONCOMMERCIAL REGISTERED AGENT
STATEMENT OF
APPOINTMENT or CHANGE
______________________________________
(Name of Corporation)
Pursuant to
5 MRSA §§105, 108 , & 109 the undersigned corporation executes and delivers the following statement of appointment
and/or change of address by a noncommercial Registered Agent. FIRST: ("X" all boxes that apply)
A.
change of address
B.
change of noncommercial registered agent and address
C.
change of noncommercial registered agent
D.
change in name of current noncommercial registered agent
SECOND: The name and address of the registered agent appear ing on the record in the Secretary of State's office:
_______________________________________________________________________________________________
(name of current registered agent)
_______________________________________________________________________________________________
(physical street address, city, state and zip code)
_______________________________________________________________________________________________
(mailing address if different from above) THIRD: (Complete the following if Item First B or C was checked above.)
Jurisdiction of incorporation: ________________________________________________________________
Date authorized to transact business in the State of Maine: __________________________________________
Form No. MBCA-12D-NCRA (1 of 2)
FOURTH: Complete this Item as follows based on your selection in Item First:
A. The new address of the noncommercial register ed agent (provide address information only);
B . The name and address of the new noncommercial registered agent (provi de name and address information);
C . The name of the new noncommercial registered agent, (provide name only); OR
D. The new name of the current noncommercial registered agent (provide name only).
_______________________________________________________________________________________________
(name of new noncommercial registered agent or new name of current noncommercial registered agent)
_______________________________________________________________________________________________
(physical street address, not a P.O. Box – city, state and zip code)
_______________________________________________________________________________________________
(mailing address if different from above)
FIFTH: Pursuant to
5 MRSA §108.3 , the registered agent as listed above has consented to serve as the registered agent for this
corporation.
SIXTH: The undersigned noncommercial registered agent of the following corporation(s) has notified each corporation of the
change indicated in Item Fourth A or D:
Name of Corporation Jurisdiction Da te authorized to transact business in Maine
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Names of additional corporations attached he reto as Exhibit ___, and made a part hereof.
DATED _________________________ *By ____________________________________________________
(signature)
____________________________________________________
(type or print name and capacity)
* This statement MUST be signed as follows:
(1) if Item First, A. was selected, then by the noncommercial registered agent OR
(2) if Item First, B. was selected, then by any duly authorized officer OR
(3) if Item First, C. was selected, then by any duly authorized officer OR
(4) if Item First, D. was selected, then by the noncommercial registered agent.
Please 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. MBCA-12D-NCRA (2 of 2) 7/1/2008
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)
_____________________
Deputy Secretary of State
A True Copy When Attested By Signature
_____________________
Deputy Secretary of State
Filing Fee $35.00
LIMITED LIABILITY COMPANY
STATE OF MAINE
COMMERCIAL REGISTERED AGENT
STATEMENT OF
APPOINTMENT or CHANGE (for a Maine or Foreign LLC)
___________________________________________
(Name of Maine or Foreign Limited Liability Company)
Pursuant to 5 MRSA
§§105 & 108, the undersigned limited liability company execu
tes and delivers the following statement of
appointment or change of a commercial registered agent. FIRST: The name and address of the current re gistered agent appearing on the record in the Secretary of State's office:
________________________________________________________________________________
(name of current registered agent) ________________________________________________________________________________
(physical st reet address, city, state and zip code)
SECOND: The new CRA Public number is: __________________________
The name of the new CRA is: ________________________________________________________
THIRD: Pursuant to 5 MRSA
§§105.2 & 108.3 , the new commercial registered agent listed above has consented to serve as the
reg istered agent for this limited liability company.
FOURTH: (For foreign limited liability companies only)
Jurisdiction of organization: __________________________________________________________________
Date authorized to transact bus iness in the State of Maine: ___________________________________________
Dated _________________________ *By _______________________________________________
( a u th oriz ed s ig natu re )
_______________________________________________
(type or print name and capacity)
*Pursuant to
31 MRSA §1676.1B , this statement MUST be signed by a person authorized by the limited liability company.
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-3-CRA 7/1/2011
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)
_____________________
Deputy Secretary of State
A True Copy When Attested By Signature
_____________________
Deputy Secretary of State
Filing Fee $35.00 for each limited liability company listed
LIMITED LIABILITY COMPANY
STATE OF MAINE
NONCOMMERCIAL REGISTERED AGENT
STATEMENT OF
APPOINTMENT or CHANGE
(for Maine or Foreign LLC)
______________________________________
(Name of Maine or Foreign Limited Liability Company)
Pursuant to
5 MRSA
§§105 , 108 , & 109 the undersigned limited liability company execu tes and delivers the following statement of
appointment and/or change of name or a ddress by a noncommercial Registered Agent.
FIRST: ("X" all boxes that apply)
A.
change of address
B.
change to/of noncommercial registered agent and address
C.
change of noncommercial registered agent
D.
change in name of current noncommercial registered agent
SECOND: The name and address of the current registered agent a ppearing on the record in the Secretary of State's office:
_______________________________________________________________________________________________
(name of current registered agent)
_______________________________________________________________________________________________
(physical st reet address, city, state and zip code)
_______________________________________________________________________________________________
(mailing address if different from above) THIRD: (For foreign limited liability companies only)
Jurisdiction of Organization: _______________________________________________________________________
Date authorized to transact business in the State of Maine: ________________________________________________
Form No. MLLC-3-NCRA (1 of 2)
FOURTH: Complete this Item as follows based on your selection in Item First:
A. The new address of the noncommercial register ed agent (provide address information only);
B. The name and address of the new noncommercial registered agent (provi de name and address information);
C. The name of the new noncommercial registered agent (provide name only); OR
D. The new name of the current noncommercial registered agent (provide name only).
_______________________________________________________________________________________________
(name of new noncommercial registered agent or new name of current noncommercial registered agent)
_______________________________________________________________________________________________
(physical street address, not a P.O. Box – city, state and zip code) _______________________________________________________________________________________________
(mailing address if different from above)
FIFTH: Pursuant to 5 MRSA
§§105.2 or 108.3 , the registered agent as listed above has consented to serve as the registered
ag ent for this limited liability company.
SIXTH: The undersigned noncommercial registered agent of the fo llowing limited liability company(s) has notified each limited
liability company of the change indicated in Item First A or D:
Name of Limited Liability Compan
y Jurisdiction Date authorized or organiz ed in Maine
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Names of additional limited liability companies attached hereto as Exhibit ___, and made a part hereof.
Dated _________________________ *By ____________________________________________________
(authorized signature)
____________________________________________________
(type or print name and capacity)
* This statem ent
MUST be signed as follows:
(1) if Item First, A or D was selected, then by the noncommercial registered agent; OR
(2) if Item First, B or C was selected, then by a person authorized by the limited liability company
The execution of this certificate cons titutes an oath or affirmation under the penalties of false swearing under
17-A MRSA §453 .
Please 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-3-NCRA (2 of 2) 7/1/2011
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)
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