Form Mnpca-15 - Application For The Use Of An Indistinguishable Name - State Of Maine - 2004
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1Filing Fee $5.00
NONPROFIT CORPORATION
STATE OF MAINE
APPLICATION FOR THE USE OF AN
_____________________
INDISTINGUISHABLE NAME
Deputy Secretary of State
A True Copy When Attested By Signature
_____________________
______________________________________
Deputy Secretary of State
(Name of Corporation Allowing Indistinguishable Name)
Pursuant to
13-B MRSA
§301-A.4, the undersigned corporation executes and delivers the following Application for the Use of an
Indistinguishable Name:
FIRST:
The above-named corporation hereby consents to the use of the following indistinguishable name:
________________________________________________________________________________________________
to _____________________________________________________________________________________________.
(requestor of indistinguishable name)
SECOND:
The entity in possession of the name undertakes to change its name to a name that is distinguishable on the records of
the Secretary of State from the name of the applicant.
THIRD:
The entity in possession of the name must change its name to:*
_______________________________________________________________________________________________.
FOURTH:
The address of the registered office of the corporation allowing indistinguishable name in the State of Maine is
_______________________________________________________________________________________________.
(street, city, state and zip code)
DATED _________________________
*By __________________________________________________
(signature)
__________________________________________________
(type or print name and capacity)
*By __________________________________________________
(signature)
__________________________________________________
(type or print name and capacity)
*This application must be accompanied by the applicable form to change its name as provided in Item Third.
*If this is a domestic corporation, this document MUST be signed by:
(13-B MRSA
§104.1.B)
(1) the Clerk or Secretary OR
(2) the President or a Vice-President together with the Secretary or an assistant. secretary, 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.
*If this is a foreign corporation, this document MUST be signed by any duly authorized individual.
(13-B MRSA
§104.1.D)
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. MNPCA-15 (1 of 1) Rev. 8/1/2004
TEL. (207) 624-7740
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