Form Mlc-6 - Certificate Of Organization Page 2
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1
2Name and Signature of Officers and Trustees
Address
(cont.)
___________________________________________________
Street ______________________________________________
(Trustee)
___________________________________________________
___________________________________________________
(type or print name)
(city, state and zip code)
___________________________________________________
Street ______________________________________________
(Trustee)
___________________________________________________
___________________________________________________
(type or print name)
(city, state and zip code)
___________________________________________________
Street ______________________________________________
(Trustee)
___________________________________________________
___________________________________________________
(type or print name)
(city, state and zip code)
___________________________________________________
Street ______________________________________________
(Trustee)
___________________________________________________
___________________________________________________
(type or print name)
(city, state and zip code)
___________________________________________________
Street ______________________________________________
(Trustee)
___________________________________________________
___________________________________________________
(type or print name)
(city, state and zip code)
Please remit your payment made payable to the Secretary of State.
SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE,
101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101
FORM NO. MLC-6 (2 of 2) Rev. 7/30/2004
TEL. (207) 624-7752
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