Statement Of Correction {MLLC-17}

Filing Fee $50.00 LIMITED LIABILITY COMPANY STATE OF MAINE STATEMENT OF CORRECTION (for a Maine or Foreign LLC) _____________________ Deputy Secretary of State A True Copy When Attested By Signature ______________________________________ (Name of Maine or Foreign Limited Liability Company) _____________________ Deputy Secretary of State Pursuant to 31 MRSA §1675, the undersigned limited liability company executes and delivers for filing this statement of correction: FIRST: On _________________________ the Secretary of State filed a document delivered for filing by the undersigned (filing date) limited liability company entitled: ___________________________________________________________________. (i.e. Application for Authority to do Business, Assumed Name, etc.) SECOND: Said document is an incorrect or inaccurate record of the action therein referred to, or was defectively or erroneously executed, sealed or acknowledged. THIRD: The incorrect or inaccurate information to be corrected and the reason it is incorrect or inaccurate or the manner in which the signing was defective is described as follows: FOURTH: The correction of the incorrect or inaccurate information or the correction to the manner in which the signing was defective is described as follows: Form No. MLLC-17 (1 of 2) American LegalNet, Inc. www.FormsWorkFlow.com FIFTH: The statement of correction is effective retroactively as of the effective date of the record the statement corrects, but the statement is effective when filed as to persons that previously relied on the uncorrected record and would be adversely affected by the retroactive effect. *Authorized person DATED ____________________________________ ___________________________________________________ (signature) ___________________________________________________ (type or print name and capacity) *Authorized person ___________________________________________________ (signature) ___________________________________________________ (type or print name and capacity) *Pursuant to 31 MRSA §1676.1B, this certificate 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-17 (2 of 2) 7/1/2011 American LegalNet, Inc. www.FormsWorkFlow.com 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) American LegalNet, Inc. www.FormsWorkFlow.com