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_________INITIAL
________RENEWAL
MAIL TO:
NEW MEXICO PUBLIC REGULATION COMMISSION
CORPORATIONS BUREAU
REPORT COMPLIANCE DIVISION
P.O. BOX 1269
SANTA FE, NEW MEXICO 87504-1269
NONPROFIT
FILING FEE OF $10.00 PAYABLE WITH THIS STATEMENT
STATEMENT OF SUSPENSION OF BUSINESS
(
FILED IN LIEU OF CORPORATE REPORT)
THIS IS TO CERTIFY, That____________________________________________________
______________________________________________________________________________
NMPRC NUMBER_______________a corporation organized under the laws of _________
_______________ is no longer engaged in active business in the State of New Mexico, and
this statement of such suspension of business is executed and filed in accordance with
Section 53-8-88.1 NMSA 1978.
Wherefore, we hereby direct that the name of the aforesaid corporation, be stricken from
the list of active corporations in the State of New Mexico, but such action shall not be
construed in any sense as a formal dissolution/withdrawal of such corporation, nor shall
such corporation be relieved thereby from any outstanding obligation.
The name and location of the registered agent and registered office of such corporation in
the State of New Mexico is _______________________________________________________
______________________________________________________________________________
_____________________________________________________________________________.
______________________________________
______________________________________
(TO BE SIGNED BY ANY TWO OFFICERS AND DIRECTORS)
NOTE: ANY CORPORATION IN THIS CLASS MAY BE FULLY REVIVED BY THE RESUMPTION OF
ACTIVE BUSINESS AND THE FILING OF THE ANNUAL REPORT CONTEMPLATED BY THE
PROVISIONS OF SECTION 53-8-82 NMSA 1978. STATEMENT MUST BE RENEWED EVERY FIVE
YEARS. CORPORATIONS MUST BE IN GOOD CORPORATE STANDING WITH THIS COMMISION
PRIOR TO THE FILING OF THIS STATEMENT.
CHECK NUMBER:_______________
CHECK DATE:__________________
AMOUNT:______________________
POSTMARK DATE:_____________