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Application For Authority To Do Business To Accompany Application For Transfer Of Authority Form. This is a Maine form and can be use in Limited Liability Company Secretary Of State.
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Tags: Application For Authority To Do Business To Accompany Application For Transfer Of Authority, MLLC-12-1, Maine Secretary Of State, Limited Liability Company
Application for Authority to do Business
pursuant to 31 MRSA §712.3
to accompany Application for Transfer of Authority
FIRST:
The name of the limited liability company:*
______________________________________________________________________________________________
SECOND:
(Check box only if applicable)
This is a professional limited liability company** qualified pursuant to 13 MRSA Chapter 22-A to provide
the following professional services:
_______________________________________________________________________________________________
_______________________________________________________________________________________________
THIRD:
If the real limited liability company name is not available, the fictitious name under which it proposes to apply for
authority to do business in the State of Maine: (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 §603-A.
FOURTH:
(For a professional limited liability company only)
All of the professional limited liability company’s members and managers, if any, are licensed in one or more states to
render a professional service disclosed in its application.
FIFTH:
Date of organization ________________________ Jurisdiction of organization _______________________________
Address of the registered or principal office, wherever located:
_______________________________________________________________________________________________
(physical location - street (not P.O. Box), city, state and zip code)
_______________________________________________________________________________________________
(mailing address if different from above)
SIXTH:
The date on which the foreign limited liability company first did, or intends to do, business in the State of Maine is
___________________________________________.
SEVENTH:
The foreign limited liability company validly exists as a limited liability company under the laws of the jurisdiction of
its organization. Please provide the nature of the business or purposes to be conducted or promoted in the State of
Maine:
______________________________________________________________________________________________
FORM NO. MLLC-12-1 (1 of 2)
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EIGHTH:
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)
NINTH:
Pursuant to 5 MRSA §108.3, the registered agent as listed above has consented to serve as the
registered agent for this limited liability company.
TENTH:
The name and business, residence or mailing address of each manager, if any, is
NAME
ADDRESS
____________________________________
___________________________________________________
____________________________________
___________________________________________________
____________________________________
___________________________________________________
Names and addresses of additional managers are attached hereto as Exhibit ____, and made a part hereof.
ELEVENTH:
This application is accompanied by a certificate of existence or a document of similar import duly authenticated by the
Secretary of State or other official having custody of limited liability company records in the state or country under
whose law the foreign limited liability company is organized. The certificate of existence must have been made not
more than 90 days prior to the delivery of this application for filing.
* The limited liability company name as used in the State of Maine must contain one of the following: "Limited Liability Company",
"L.L.C." or "LLC" (31 MRSA §603-A). If the addition of these words is the only difference from the limited liability company's real
name in its jurisdiction of organization, no further action is required.
** The professional limited liability company name as used in the State of Maine satisfies the requirements of 13 MRSA §736.
Please 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-12-1 (2 of 2) Rev. 7/1/2008
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Filer Contact Cover Letter
To:
Department of the Secretary of State
Division of Corporations, UCC and Commissions
101 State House Station
Augusta, ME 04333-0101
Tel. (207) 624-7752
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 service ($50 additional filing fee per entity, per service)
Expedited filing - Immediate service ($100 additional filing fee per entity, per service)
Total filing fee(s) enclosed: $ ________________
Contact Information – questions regarding the 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 State’s office)
___________________________________
___________________________________
(Name of contact person)
(Daytime telephone number)
____________________________________________________
(Email address)
The enclosed filing(s) and fee(s) are submitted for filing. 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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