Form Mbca-10a - Domestic Business Corporation - Articles Of Consolidation Page 2

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FIFm:
The address of the registered office in the State of Maine of
is
(street, city, state aIxl zip code)
The address of the registered office in the State of Maine of
is
(street, city, state aIxl zip code)
SlX11l:
Effective date of the consolidation (if other than date of fIling of Articles) is
(Not to exceed 60 days from date of filing of the Articles )
DATED
(name of corporation)
*By
MUST BE COMPLETED FOR VOTE
OF SHAREHOLDERS
(signattlre)
certify that I have custody of the minutes showing
the above action by the shareholders.
(type or print name aIKl capacity)
*By
(signattlre)
(name of corporation)
(type or print name aIKl capacity)
(signattlre of clerk, secretary or asst. secretary)
DATED
(name of corporation)
*By
(signattlre)
(tyPe or print llaIne aOO capacity)
*By
(signattlre)
(tyPe
or print
name
am
capacity)
nus
FORM
M!l.SI.BE
ACCOMPANIED
BY FORM
MBCA-18A
(Acceptance
of Appointment
~ Clerk
§304.2-A.).
*This document MUST be signed by
(I) the ~
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 Holders of a majoritv of all outstanding shares OR
(5) the Holders of all of the outstandin2 shares.
SUBMIT COMPLETED
FORMS TO: CORPORATE EXAMINING
SECTION, SECRETARY OF STATE,
101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101
FORM NO. MBCA-I0A
Rev.7/2000
TEL.
(207} 287-4195

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