Form Mnpca-3-Ncra - Noncommercial Registered Agent - Statement Of Appointment Or Change - 2008

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Filing Fee $15.00 for each nonprofit corporation listed
NONPROFIT CORPORATION
STATE OF MAINE
NONCOMMERCIAL REGISTERED AGENT
STATEMENT OF
_____________________
APPOINTMENT or CHANGE
Deputy Secretary of State
A True Copy When Attested By Signature
______________________________________
_____________________
(Name of Corporation as it appears on the records of the Secretary of State)
Deputy Secretary of State
Pursuant to
5 MRSA §§105,
108, &
109
the undersigned corporation executes and delivers the following statement of appointment
and/or change of address by a noncommercial registered agent.
FIRST:
("X" all boxes that apply)
A.
change of address
B.
change to/of noncommercial registered agent and address
C.
change of noncommercial registered agent
D.
change in name of current noncommercial registered agent
SECOND:
The name and address of the registered agent appearing on the record in the Secretary of State's office:
_______________________________________________________________________________________________
(name of current registered agent)
_______________________________________________________________________________________________
(physical street address, city, state and zip code)
_______________________________________________________________________________________________
(mailing address if different from above)
THIRD:
(For foreign nonprofit corporations only)
Jurisdiction of Organization:
________________________________________________________________
Date authorized to transact business in the State of Maine:
__________________________________________
Form No. MNPCA-3-NCRA (1 of 2)

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