Form Mnpca-Iie - Domestic Nonprofit Corporation Volunt Ary Dissolution By Incorporators Page 2

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DATED
*By
(incorporator)
(tyPe or print name aOO capacity)
*By
(incorporator)
(type or print name and capacity)
*By
(incorlXJrator)
(type or print name am capacity)
*This document ~
be signed by a majority of the incorporators.
SUBWT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE,
101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101
FORM NO. MNPCA-IIE Rev.7/2000
TEL. (201) 287-4195

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