Amended Application For Authority To Do Business {MLLP-12A}

Filing Fee $90.00 - (If amending ONLY Item FOURTH and/or Item FIFTH the filing fee is $35.00.) FOREIGN LIMITED LIABILITY PARTNERSHIP STATE OF MAINE AMENDED APPLICATION FOR AUTHORITY TO DO BUSINESS _____________________ Deputy Secretary of State A True Copy When Attested By Signature _____________________________________ (Name of Limited Liability Partnership in Jurisdiction of Organization) _____________________ Deputy Secretary of State Pursuant to 31 MRSA §855, the undersigned limited liability partnership executes and delivers the following Amended Application for Authority to do Business: FIRST: The name of the limited liability partnership in its jurisdiction of organization has been changed to (If no change, so indicate.) _____________________________________________________________________________________________. SECOND: 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. THIRD: The nature of the business or purposes to be conducted or promoted in the State of Maine is (If no change, so indicate.) _______________________________________________________________________________________. FOURTH: The new address of the registered or principal office, wherever located, is: (If no change, so indicate.) ______________________________________________________________________________________________ (physical location - street (not P.O. Box), city, state and zip code) ______________________________________________________________________________________________ (mailing address if different from above) FORM NO. MLLP-12A (1 of 2) American LegalNet, Inc. www.FormsWorkFlow.com FIFTH: The name and or the business, residence or mailing address of the contact partner has been changed to: (If no change, so indicate.) Name ___________________________________ Address __________________________________________________ SIXTH: Other amendments to the application, if any, are set forth in Exhibit ___ attached hereto and made a part hereof. DATED __________________________ Partner(s)* ___________________________________________________ (signature) __________________________________________________ (type or print name and capacity) For Partner(s) which are Entities Name of Entity _______________________________________________________________________________________________ By _______________________________________________ (authorized signature) __________________________________________________ (type or print name and capacity) 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" (31 MRSA §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. *Certificate MUST be signed by (1) at least one partner OR (2) any duly authorized person. 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-12A (2 of 2) Rev. 8/1/2004 TEL. (207) 624-7752 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