Filing Fee $20.00 LIMITED LIABILITY COMPANY STATE OF MAINE TRANSFER OF RESERVED NAME _____________________ Deputy Secretary of State A True Copy When Attested By Signature _____________________ Deputy Secretary of State Pursuant to 31 MRSA §604-A.2, the undersigned transferor executes and delivers the following Transfer of Reserved Name: _____________________________________________________________________________________________________________ (Name previously reserved pursuant to §604-A.1) Name of original applicant ______________________________________________________________________________________ Name of transferee ____________________________________________________________________________________________ Address of transferee ___________________________________________________________________________________________ ORIGINAL APPLICANT (Transferor) DATED __________________________ __________________________________________________ ___________________________________________________ (signature of any duly authorized person) (type or print name and capacity) This transfer of reserved name will expire 120 days from the date of filing the original application. 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-1A Rev. 7-1-2003 American LegalNet, Inc. TEL. (207) 624-7752 www.FormsWorkFlow.com