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Fill and Sign the Statement of Appointment or Change of Agent State Forms

Fill and Sign the Statement of Appointment or Change of Agent State Forms

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_____________________ 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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