Filing Fee $145.00
DOMESTIC
BUSINESS CORPORATION
STATE OF MAINE
ARTICLES OF NONPROFIT
_____________________
CONVERSION
Deputy Secretary of State
A True Copy When Attested By Signature
_____________________
______________________________________
Deputy Secretary of State
(Name of Corporation Prior to Conversion)
Pursuant to
13-C MRSA
§933, the undersigned corporation executes and delivers the following Articles of Nonprofit Conversion:
FIRST:
If the corporate name does not satisfy the requirements of
13-B MRSA §301-A
(Maine Nonprofit Corporations Act)
or the corporation desires to change its name in connection with the conversion, the name it proposes to use in the
State of Maine:
_______________________________________________________________________________________________.
SECOND:
The plan of nonprofit conversion was duly approved by the shareholders in the manner required by this Act and the
articles of incorporation.
THIRD:
All the statements required to be set forth in Articles of Incorporation (Form MNPCA-6-1) are attached as Exhibit
________.
FOURTH:
The effective date of the articles of nonprofit conversion (if other than the date of filing of the articles of nonprofit
conversion) is _______________________________.
DATED _________________________
*By __________________________________________________
(signature of an officer or other duly authorized representative)
__________________________________________________
(type or print name and capacity)
*This document MUST be signed by an officer or other duly authorized representative.
(13-C MRSA
§933.1)
Please remit your payment made payable to the Maine Secretary of State.
SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE,
101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101
FORM NO. MBCA-20 (1 of 1) Rev. 8/1/2004
TEL. (207) 624-7752