Filing Fee $5.00
DOMESTIC
NONPROFIT CORPORATION
STATE OF MAINE
STATEMENT OF
REVOCATION OF VOLUNTARY
_____________________
DISSOLUTION PROCEEDINGS
Deputy Secretary of State
(Vote of Members or Directors)
A True Copy When Attested By Signature
______________________________________
_____________________
Deputy Secretary of State
(Name of Corporation)
Pursuant to
13-B MRSA
§1102, the undersigned corporation executes and delivers for filing the following statement of revocation of
voluntary dissolution proceedings previously authorized:
FIRST:
The names and respective addresses of its officers and directors are:
Name
Address
Title
President
__________________________________________
_____________________________________________
Treasurer
__________________________________________
_____________________________________________
Secretary
__________________________________________
_____________________________________________
Clerk
__________________________________________
_____________________________________________
Directors:
__________________________________________
_____________________________________________
__________________________________________
_____________________________________________
__________________________________________
_____________________________________________
(List additional directors on reverse side)
SECOND:
("X" one box only) Exhibit A attached hereto is a copy of the resolution adopted by:
The members of the corporation entitled to vote.
The directors of the corporation, there being no members or no members entitled to vote.
THIRD:
The address of the registered office of the corporation in the State of Maine is ________________________________
_______________________________________________________________________________________________
(street, city, state and zip code)