Form Mnp-3 - Change Of Clerk/secretary And/or Address Form - State Of Maine
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DOMESTIC
NONPROFIT CORPORATION
STATE OF MAINE
_____________________
CHANGE OF CLERK/SECRETARY
Deputy Secretary of State
and/or
ADDRESS
A True Copy When Attested By Signature
_____________________
Deputy Secretary of State
______________________________________
(Name of Corporation)
Pursuant to
13 MRSA §934
the undersigned corporation executes and delivers for filing the following Change of Clerk and/or Address:
FIRST:
("X" all boxes that apply)
A.
change of address
B.
change of clerk and address
C.
change of clerk
D.
change in name of current clerk
SECOND:
The name and address of the clerk appearing on the record in the Secretary of State's office:
_______________________________________________________________________________________________
(name of current clerk)
_______________________________________________________________________________________________
(street, city, state and zip code)
THIRD:
Complete this Item as follows based on your selection in Item First:
A.
The new address (provide address information only);
B.
The name and address of the new clerk (provide name and address information);
C.
The name of the new clerk (provide name only); OR
D.
The new name of the current clerk (provide name only).
_______________________________________________________________________________________________
(name of new clerk or new name of current clerk)
_______________________________________________________________________________________________
(physical location, not P.O. Box – street, city, state and zip code)
_______________________________________________________________________________________________
(mailing address if different from above)
FORM NO. MNP-3 (1 of 2)
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