Application for Authority to do Business pursuant to 31 MRSA §852.3 to accompany Application for Transfer of Authority FIRST: The name of the limited liability partnership*: __________________________________________________________________________________________ SECOND: (Check box only if applicable) This is a professional limited liability partnership** qualified pursuant to 13 MRSA Chapter 22-A to provide the following professional services: _______________________________________________________________________________________________ _______________________________________________________________________________________________ THIRD: If the real limited liability partnership name is not available, the fictitious name under which it proposes to apply for authority to do business in the State of Maine is (If not applicable, so indicate.) ______________________________________________________________________________________________. Form MLLP-5 accompanies this application. A fictitious name is a name adopted by a foreign limited liability partnership authorized to transact business in this State because its real name is unavailable pursuant to 31 MRSA §803-A. FOURTH: (For a professional limited liability partnership only) All of the professional limited liability partnership's partners 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, is: _______________________________________________________________________________________________ (physical location - street (not P.O. Box), city, state and zip code) _______________________________________________________________________________________________ (mailing address if different from above) SIXTH: The foreign limited liability partnership validly exists as a limited liability partnership under the laws of the jurisdiction of its organization. The nature of the business or purposes to be conducted or promoted in the State of Maine is ______________________________________________________________________________________________ Form No. MLLP-12-1 (1 of 2) American LegalNet, Inc. www.FormsWorkFlow.com SEVENTH: 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) EIGHTH: Pursuant to 5 MRSA §108.3, the registered agent as listed above has consented to serve as the registered agent for this limited liability partnership. The name and business, residence or mailing address of the contact partner is NAME ADDRESS NINTH: ____________________________________ TENTH: ___________________________________________________ The date on which the foreign limited liability partnership first did, or intends to do, business in the State of Maine is ______________________________. 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 partnership records in the state or country under whose law the foreign limited liability partnership is organized. In lieu of a certificate of existence, a copy of the foreign limited liability partnership's registration certified or stamped by the Secretary of State or other proper officer in its domestic jurisdiction is a sufficient equivalent if such an officer does not produce any other type of certificate of existence. 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 partnership name as used in the State of Maine must contain one of the following: "Limited Liability Partnership", "L.L.P." or "LLP" (§803-A). If the addition of these words is the only difference from the limited liability partnership's real name in its jurisdiction of organization, no further action is required. ** The professional limited liability partnership name as used in the State of Maine satisfies the requirements of 13 MRSA §736. The execution of this certificate constitutes an oath or affirmation under the penalties of false swearing under 17-A MRSA §453. 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. MLLP-12-1 (2 of 2) Rev. 7/1/2008 American LegalNet, Inc. www.FormsWorkFlow.com