Form Mnpca-17 - Certificate Of Correction - Nonprofit Corporation

Form Mnpca-17 - Certificate Of Correction - Nonprofit Corporation - State Of Maine Page 2

SIXTH:

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 CERTIFICATE OF CORRECTION NAMES A NEW REGISTERED AGENT, THE FOLLOWING SHALL BE

COMPLETED BY THE REGISTERED AGENT UNLESS THIS DOCUMENT IS ACCOMPANIED BY FORM MNPCA-18

(§304.3. OR §1212.1-A.).

The undersigned hereby accepts the appointment as registered agent for the above named nonprofit corporation.

REGISTERED AGENT

DATED __________________________

___________________________________________________

____________________________________________________

)

(signature)

(type or print name

For Registered Agent which is a Corporation

Name of Corporation ______________________________________________________________________________________________

By ________________________________________________

____________________________________________________

(authorized 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-17

Rev. 4/16/2001

TEL. (207) 624-7740

Form Mnpca-17 - Certificate Of Correction - Nonprofit Corporation - State Of Maine Page 2