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Maine Restated Foreign Articles of Organization Form

In the case of a limited liability company wanting to change details listed in the Articles of Organization they already submitted in the State of Main, the Maine Restated Foreign Articles of Organization Form has to be completed and submitted.

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Filing Fee $90.00 
 	
 
 
 
 
 
 
 
 	
_____________________ 
Deputy Secretary of State 	
 
 	
A True Copy When Attested By Signature 	
 
 	
_____________________ 
Deputy Secretary of State 	
 
                      (If changing ONLY Item FIFTH filing fee $35.00)  
 
 
 	
LIMITED LIABILITY COMPANY 
 
 
STATE OF MAINE  
 
 
STATEMENT OF CHANGE 
OF FOREIGN QUALIFICATION  	
  	 
  
 	
_______________________________________________ 
(Name of the Foreign Limited Liability Company 
 in the Jurisdiction of Organization) 	
 
 	
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Pursuant	

 to 31 MRSA §1622.3 , the undersigned limited liability company executes a nd delivers the following Statem	
 ent of Change of 
Foreign Qualification: 
 
FIRST:    If the name of the limited liability comp any* in its jurisdiction of organization has been changed (If no change, so 
indicate), the proposed name to be used in this State:  
    
 _______________________________________________________________________\
_______________________. 
 
 
SECOND:   If the name of the limited liability company in the jurisdiction of organization does not comply with  31 MRSA §1508, 
th	

e  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. 
 
  A	
  fictitious name  is a name adopted by a  foreign limited liability company  authorized to transact business in this 
State because its real name is unavailable pursuant to  31 MRSA §1508. 
 
 
THIRD:   	

The date on which the foreign limited liability compan y was qualified to conduct activities in the State of 
Maine:_________________________________ 
FOURTH:   The nature of the business or purpose(s) to be conducted or promoted in the State of Maine is 	
(If no change, so indicate)	  
________________________________________________________________________\
___________________. 
FIFTH:   The new address of the principal office, wherever located, is: (If no change, so indicate) 
 
  ______________________________________________________________________\
_________________________ 	
                      (physical location - street (not P.O. Box), city, state and zip code) 
 
  ______________________________________________________________________\
_________________________ 
                          (m ailing address if different from above)	 
 
 
Form No. MLLC-12A (1 of 2)

SIXTH:  Complete only if there is a change  to the registered agent information.  
 
  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) 
 
SEVENTH:        Pursuant to 5 MRSA  §§105.2 or  108.3 , the registered agent listed above has consented to serve as the registered agent    
fo	

r this limited liability company. 
 
 
   EIGHTH:            The new state or other jurisdicti on under whose law the foreign limited  liability company is now formed 	
(if no change, so    
    indicate): 
 	
________________________________________________________________________\
_________________	 	
   A certificate of existence or such othe r document that the Secretary of State  determines to be suitable for purposes 
of proving the valid existence of the fo reign limited liability company under the la w of the State or other jurisdiction 
is attached.  The certificate or other doc ument must not have been issued more than 90 days before the delivery of 
this statement to the office  of the Secretary of State. 
 
NINTH:             Other changes to the statement, if any, are set fo rth in Exhibit______attached and made a part hereof. 
 
 
Dated ______________________________    ___________________________________________________  
        	
  	(Authorized Signature**) 
 
        ___________________________________________________ 	
                                    	(Type or print name) 	
 
* Th	

e limited liability company name as used in the State of Maine must contain one of the following: “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 compan y, “L3C” 
or “l3c” – see  31 MRSA 1508).  If the addition of these words is the  onl	
 y difference from the limited liability company's real name in its 	
jurisdiction of organization, then no fictitious name filing is required.	 
 
**Pursuant to  31 MRSA §1676.1 , this statement MUST b	
 e signed by a person authorized by the foreign limited liability company. 
  
The execution of this statement 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:  [email protected]  
 
 
Form	

 No. MLLC-12A (2 of 2) Rev. 1/30/2013

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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