Filing Fee $35.00 for each limited liability partnership listed FOREIGN LIMITED LIABILITY PARTNERSHIP STATE OF MAINE CHANGE OF REGISTERED AGENT and/or REGISTERED OFFICE _____________________ Deputy Secretary of State A True Copy When Attested By Signature ______________________________________ _____________________ Deputy Secretary of State (Name of Limited Liability Partnership) Pursuant to 31 MRSA §854.6, the undersigned limited liability partnership executes and delivers the following Change of Registered Agent and/or Registered Office: FIRST: ("X" all boxes that apply) A. change of registered office B. change of registered agent and registered office C. change of registered agent D. change in name of current registered agent SECOND: The name and registered office of the registered agent appearing on the record in the Secretary of State's office: ________________________________________________________________________________________________ (name) ________________________________________________________________________________________________ (street, city, state and zip code) THIRD: Complete this Item as follows based on your selection in Item First: A. B. C. D. The address of the new registered office (provide address information only); The name and registered office of the new registered agent, who must be an individual Maine resident or a corporation, foreign or domestic, authorized to do business or carry on activities in Maine (provide name and address information); The name of the new registered agent, who must be an individual Maine resident or a corporation, foreign or domestic, authorized to do business or carry on activities in Maine (provide name only); OR The new name of the current registered agent (provide name only). ________________________________________________________________________________________________ (name of new registered agent or new name of current registered agent) ________________________________________________________________________________________________ (physical location, not P.O. Box – street, city, state and zip code) ________________________________________________________________________________________________ (mailing address if different from above) FORM NO. MLLP-12C (1 of 2) American LegalNet, Inc. www.USCourtForms.com FOURTH: The undersigned registered agent of the following limited liability partnership(s), who has changed the address of the registered office OR who has changed his or her name, has notified each limited liability partnership of the change indicated in Item Third A or D: Name of Limited Liability Partnership ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ Names of additional limited liability partnerships attached hereto as Exhibit ___, and made a part hereof. Note: The following must be signed by the proper person as designed below.* DATED _________________________ *By ___________________________________________________ (signature) ___________________________________________________ (type or print name and capacity) Acceptance of Appointment of New Registered Agent The undersigned hereby accepts the appointment as registered agent for the above-named limited liability partnership. Registered Agent DATED __________________________ ___________________________________________________ (signature) ___________________________________________________ (type or print name) For Registered Agent which is a Corporation Name of Corporation _____________________________________________________________________________________________ By ________________________________________________ ___________________________________________________ (authorized signature) (type or print name and capacity) If this document changes the Registered Agent and the new Registered Agent does not sign this form, then Form MLLP-18 (31 MRSA §854.2-A) must accompany this document. *This certificate MUST be signed as follows: (1) if Item First, A. was selected, then by the Registered Agent OR (2) if Item First, B. or C. was selected, at least by at least one partner (31 MRSA §826.1.B) OR By any duly authorized person (31 MRSA §826.2) OR (3) if Item First, D. was selected, then by the Registered Agent. 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 FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE, 101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101 FORM NO. MLLP-12C (2 of 2) Rev. 8/1/2004 TEL. (207) 624-7740 American LegalNet, Inc. www.USCourtForms.com