Form Mnpca-I0 - Domestic Nonprofit Corporation Articles Of Merger Page 2

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THIRD:
The address of the registered office of the surviving corporation in the State of Maine is
(street, city, state aOO zip code)
The address of the registered office of the merged corporation in the State of Maine is
(street, city, state aIxi zip code)
FOURm:
Effective date of the merger (if later than date of filing of Articles) is
(Not to exceed 60 days from date of filing of the Articles)
DATED
(surviving corporation)
*By
(signattlre)
(type or print name aIx! capacity)
*By
(signattlre)
(tyPe or print name aIKl capacity)
DATED
(merged corporation)
*By
(signature)
(tyPe or print name aIKi capacity)
*By
(signature)
(type or print name aIxi capacity)
*This document MUST be signed by
(I) the ~
or Secretary OR
(2) the President or a vice-pres. together with the Secretary or an ass't. sec., or a 2nd certifying officer OR
(3) if no such officers, then a majority of the Directors OR
(4) if no such directors, then the Members.
SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE,
101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101
FORM NO. MNPCA-I0
Rev.7/2000
TEL. (201) 287-4195

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