Form Mbca-3-Cra - Nonprofit Corporation Commercial Registered Agent - Statement Of Appointment Or Change - 2008

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Filing Fee $15.00
NONPROFIT CORPORATION
STATE OF MAINE
COMMERCIAL REGISTERED AGENT
STATEMENT OF
_____________________
APPOINTMENT or CHANGE
Deputy Secretary of State
A True Copy When Attested By Signature
______________________________________
(Name of Corporation as it appears on the records of the Secretary of State)
_____________________
Deputy Secretary of State
Pursuant to
5 MRSA §§105
&
108
the undersigned nonprofit corporation executes and delivers the following statement of appointment
or change of a commercial registered agent.
FIRST:
The name and address of the current registered agent appearing on the record in the Secretary of State's office:
_______________________________________________________________________________
(name of current registered agent)
_______________________________________________________________________________
(physical street address, city, state and zip code)
SECOND:
The new CRA Public number is: __________________________
The name of the new CRA is: _______________________________________________________
THIRD:
Pursuant to
5 MRSA
§108.3, the registered agent listed above has consented to serve as the registered
agent for this corporation.
FOURTH:
(To be completed by foreign nonprofit corporations)
Jurisdiction of incorporation:
________________________________________________________________
Date authorized to carry on activities in the State of Maine:
__________________________________________
Dated _________________________
*By
_______________________________________________
(signature)
_______________________________________________
(type or print name and capacity)
*This statement MUST be signed by any duly authorized officer.
(13-B MRSA §104.1)
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. MBCA-3-CRA 7/1/2008

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