A person named in a filed statement of authority may deliver to the office of the Secretary of State for filing a statement of denial that:
1. Name and date. States the name of the limited liability company and the date of filing of the statement of authority to which the statement of denial pertains;
2. Denial of authority. Denies the person's authority; and
3. Notice to limited liability company. States that the person has furnished the limited liability company with a copy of the statement of denial.