_____________________
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 executes and delivers the following
statement of
appointment or change of a commercial registered agent.
FIRST: The name and address of the current registered agent appearing on the record in the Secretary of State's office:
________________________________________________________________________________
(name of current registered agent)
________________________________________________________________________________
(physical street 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 business in the State of Maine: ___________________________________________
Dated _________________________ *By _______________________________________________
(authorized signature)
_______________________________________________
(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 constitutes an oath or affirmation under the penalties of false swearing under 17-A MRSA §453.
Pl
ease remit your payment made payable to the Maine Secretary of State.
Submit completed form to: Secretary of State
Division of Corporations, 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
Rev. 8/2021
Customer Contact Cover Letter
Name
of entity(s) on the submitted filings:
_______________
_______________________________________________________________
_______________
________________________________________________________________
Optional special handling request(s): (check only if applicable)
Hold attested copy for pick up (will be required to pick up at our office in Augusta, Maine)
24-hour expedited filing (next business day) service: $50 additional filing fee per entity
Immediate expedited filing (same business day): $100 additional filing fee per entity
NOTE: Only one expedite fee is required if filing multiple documents for the same entity/charter number at the same time.
Pa
yment can be made by check or money order (payable to Maine Secretary of State) or by credit card. You may
obtain a credit card voucher at https://www.maine.gov/sos/cec/forms/credit.pdf.
Total fee(s) enclosed: $ ________________
_______________
________________________ __________________________________________
(Name of contact person) (Daytime telephone number)
_______________________________________ ___________________________________________
(Contact email address for this filing) (Email address to use for annual report reminders)
Nam
e and address of person to return the attested copy of the completed filing:
_______________
______________________________________________________________________
(Name of attested copy recipient)
____________________________________________________________________________________
(Firm or Company)
_______________
______________________________________________________________________
(Mailing Address)
_______________
______________________________________________________________________
(City, State & Zip)
NOTE: Failure to provide a contact name and telephone number or email address will result in any erroneous
filing(s) being returned to the filer by the Secretary of State’s office.
F
or questions regarding the above filing(s), please call or email our office at (207) 624-7752 or cec.corporations@maine.gov
Submi
t filings to:
Mailing Address if using US Postal Service Mailing Address if using FedEx/UPS
Department of the Secretary of State Department of the Secretary of State
Corporations, UCC and Commissions Corporations, UCC and Commissions
101 State House Station 111 Sewall Street, 4
th
Floor
Augusta, ME 04333-0101 Augusta, ME 04330