Maine LLC Name Reservation Form
In the case of a limited liability company wanting to reserve a name in the State of Maine before submitting the necessary documents, the Maine LLC Name Reservation Form has to be completed and submitted.
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_____________________ Deputy Secretary of State A True Copy When Attested By Signature _____________________ Deputy Secretary of State Filing Fee $20.00 LIMITED LIABILITY COMPANY STATE OF MAINE APPLICATION FOR RESERVATION OF NAME Pursuant to 31 MRSA §1509.1, the undersigned applicant ex ecutes and delivers the following Application for Reservation of Name: Check box only if this name is being reserved for use as an assumed name. ________________________________________________________________________\ ________________________________ (Name to be reserved must contai n one of the following: "limited liability comp any" 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” unless this name is being reserved for use only as an assumed name – see 31 MRSA §1508.) Name of applicant _______________________________________________________________________\ _______________________ Address of applicant _______________________________________________________________________\ _____________________ APPLICANT DATED __________________________ ___________________________________________________ ___________________________________________________ (signature of applicant) (type or print name and capacity) • Names are reserved for a period of 120 days and may not be renewed . The Secretary of State will not file an application for a reserved name that is filed back-to-back by the same applicant for the same name. • The Secretary of State will not act as an agent by holding applications for filing upon expiration of an existing reservation. Timely filing is the responsibility of the applicant. • This application serves only as a reservation of the ri ght to the use of a name. Actual use of the name is not recommended until the purpose for which the name is reserved is completed. The execution of this application c onstitutes an oath or affirmation unde r 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: [email protected] Form No. MLLC-1 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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