Form Mbca-8a - Statement Of Cancellation Of Reacquired Shares - Maine Secretary Of State Page 2
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1
2DATED
*By
(signattlre)
(type or print name aOO capacity)
*By
(signature)
(type or print name aOO capacity)
*This document MUST be signed by
(I) the ~
OR
(2) the President or a vice-pres. together with the Secre!m 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 Holders of a maioritv of all outstandinl! shares OR
(5) the Holders of all of the outstandinl! shares.
SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECnON, SECRETARY OF STATE,
101 STATE HOUSE STAnON, AUGUSTA, ME 04333-0101
FORM NO. MBCA-8A Rev.7/2000
TEL. (201) 287-4195
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