(a) The name of the foreign limited liability company and the name of the state or country under whose law it is organized;
(b) That it is not transacting business in this state and that it surrenders its authority to transact business in this state;
(c) That it revokes the authority of its registered agent to accept service on its behalf and appoints the Secretary of State as its agent for service of process in any proceeding based on a cause of action arising during the time it was authorized to transact business in this state;
(d) A mailing address to which the person initiating any proceeding may mail to the foreign limited liability company a copy of any process served on the Secretary of State under paragraph (c) of this subsection; and
(e) A commitment to notify the Secretary of State for a period of five years from the date of withdrawal of any change in its mailing address.
(2) Upon filing by the Secretary of State of the application to withdraw, the authority of the foreign limited liability company to transact business in this state shall cease. [1993 c.173 §85]