Form MLLC-5 "Statement of Intention to Transact Business Under an Assumed or Fictitious Name (For Maine or Foreign LLC)" - Maine

What Is Form MLLC-5?

This is a legal form that was released by the Maine Department of the Secretary of State - a government authority operating within Maine. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on November 16, 2012;
  • The latest edition provided by the Maine Department of the Secretary of State;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form MLLC-5 by clicking the link below or browse more documents and templates provided by the Maine Department of the Secretary of State.

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Download Form MLLC-5 "Statement of Intention to Transact Business Under an Assumed or Fictitious Name (For Maine or Foreign LLC)" - Maine

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Filing Fee for an Assumed Name $125.00
Filing Fee for a Fictitious Name $40.00
LIMITED LIABILITY COMPANY
STATE OF MAINE
STATEMENT OF INTENTION TO
_____________________
TRANSACT BUSINESS UNDER AN
Deputy Secretary of State
ASSUMED OR FICTITIOUS NAME
(for Maine or Foreign LLC)
A True Copy When Attested By Signature
______________________________________
_____________________
(Name of Maine or Foreign Limited Liability Company)
Deputy Secretary of State
Pursuant to
31 MRSA
§1510, the undersigned limited liability company executes and delivers the following Statement of Intention to
Transact Business Under an Assumed or Fictitious Name:
FIRST:
("X" one box only.)
assumed name (§1510-1.A)
fictitious name (§1510-1.B)
The limited liability company intends to transact business under the assumed or fictitious name of
_______________________________________________________________________________________.
Note: 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 §1508.
Complete the following if applicable:
SECOND:
If such assumed name is to be used at fewer than all of the limited liability company's places of business in this State,
the location(s) where it will be used is (are):
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Additional locations are attached hereto as Exhibit _____, and made a part hereof.
Form No. MLLC-5 (1 of 2)
Filing Fee for an Assumed Name $125.00
Filing Fee for a Fictitious Name $40.00
LIMITED LIABILITY COMPANY
STATE OF MAINE
STATEMENT OF INTENTION TO
_____________________
TRANSACT BUSINESS UNDER AN
Deputy Secretary of State
ASSUMED OR FICTITIOUS NAME
(for Maine or Foreign LLC)
A True Copy When Attested By Signature
______________________________________
_____________________
(Name of Maine or Foreign Limited Liability Company)
Deputy Secretary of State
Pursuant to
31 MRSA
§1510, the undersigned limited liability company executes and delivers the following Statement of Intention to
Transact Business Under an Assumed or Fictitious Name:
FIRST:
("X" one box only.)
assumed name (§1510-1.A)
fictitious name (§1510-1.B)
The limited liability company intends to transact business under the assumed or fictitious name of
_______________________________________________________________________________________.
Note: 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 §1508.
Complete the following if applicable:
SECOND:
If such assumed name is to be used at fewer than all of the limited liability company's places of business in this State,
the location(s) where it will be used is (are):
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Additional locations are attached hereto as Exhibit _____, and made a part hereof.
Form No. MLLC-5 (1 of 2)
THIRD:
(Foreign Limited Liability Company Only)
Jurisdiction of organization ______________________________________________________ and the date on which
the limited liability company was authorized to transact business in Maine ___________________________________.
DATED __________________________
*Authorized person(s)
________________________________________________
_______________________________________________
(authorized signature)
(Type or print name of authorized person)
*Pursuant to
31 MRSA
§1676.1B, this statement MUST be signed by a person authorized by the limited liability company.
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. MLLC-5 (2 of 2) 11/16/2012
Filer Contact Cover Letter
To:
Department of the Secretary of State
Tel. (207) 624-7752
Division of Corporations, UCC and Commissions
101 State House Station
Augusta, ME 04333-0101
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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