Filing Fee $20.00 LIMITED LIABILITY COMPANY STATE OF MAINE APPLICATION FOR RESERVATION OF NAME _____________________ Deputy Secretary of State Pursuant to 31 MRSA §604-A.1, the undersigned applicant executes and delivers the following Application for Reservation of Name: A True Copy When Attested By Signature Check box only if this name is being reserved for use as an assumed name. _____________________ Deputy Secretary of State _____________________________________________________________________________________________________________ (§603-A.1 - Name to be reserved must contain one of the following: "Limited Liability Company", "L.L.C." or "LLC" unless this name is being reserved for use only as an assumed name.) 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 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 right 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. Please remit your payment made payable to the Maine Secretary of State. SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE, 101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101 FORM NO. MLLC-1 Rev. 11-1-2008 TEL. (207) 624-7752 American LegalNet, Inc. www.FormsWorkFlow.com