Form Mnpca-3-Ncra - Nonprofit Corporation Noncommercial Registered Agent - Statement Of Appointment Or Change - 2008

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Filing Fee $15.00 for each nonprofit corporation listed
NONPROFIT CORPORATION
STATE OF MAINE
NONCOMMERCIAL 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, &
109
the undersigned corporation executes and delivers the following statement of appointment
and/or change of address by a noncommercial registered agent.
FIRST:
("X" all boxes that apply)
A.
change of address
B.
change of noncommercial registered agent and address
C.
change of noncommercial registered agent
D.
change in name of current noncommercial registered agent
SECOND:
The name and address of the 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)
_______________________________________________________________________________________________
(mailing address if different from above)
THIRD:
(For foreign nonprofit corporations only)
Jurisdiction of Organization:
________________________________________________________________
Date authorized to transact business in the State of Maine:
__________________________________________
Form No. MNPCA-3-NCRA (1 of 2)

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