Form Mnpca-5a - Termination Of Statement Of Intention To Carry On Activities Under An Assumed Name For A Nonprofit Corporation

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Filing Fee $5.00
NONPROFIT CORPORATION
STATE OF MAINE
TERMINATION OF STATEMENT
OF INTENTION TO CARRY ON
Deputy Secretary of State
ACTIVITIES UNDER AN ASSUMED NAME
A True Copy When Attested By Signature
______________________________________
Deputy Secretary of State
(Name of Corporation)
Pursuant to 13-B MRSA §308.7, the undersigned, a corporation (incorporated under the laws of the State of Maine), (incorporated
under the laws of the State of _________________________, and authorized to carry on activities in Maine), gives the following notice:
FIRST:
The corporation no longer intends to carry on activities under the assumed name of ____________________________
_________________________________________________________________________________________________
SECOND:
The address of the registered office of the corporation 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)
*If this is a domestic corporation, this document MUST be signed by
(1) the Clerk or Secretary OR
(2) the President or a vice-pres. together with the Secretary 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 Members.
*If this is a foreign corporation, this document MUST be signed by any duly authorized individual.
SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE,
101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101
FORM NO. MNPCA-5A
Rev. 4/16/2001
TEL. (207) 624-7740

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