Form Mnpca-11c - Statement Of Revocation Of Voluntary Dissolution Proceedings Page 2

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DATED _________________________
*By __________________________________________________
(signature)
__________________________________________________
(type or print name and capacity)
MUST BE COMPLETED FOR VOTE
OF MEMBERS
*By __________________________________________________
I certify that I have custody of the minutes showing
(signature)
the above action by the members.
__________________________________________________
(type or print name and capacity)
_____________________________________________
(signature of clerk, secretary or asst. secretary)
*This document MUST be signed by any duly authorized officer.
(13-B MRSA
§104.1.B)
SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE,
101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101
FORM NO. MNPCA-11C Rev. 9/16/2005
TEL. (207) 624-7752

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