Form Mbca-3 - Change Of Clerk And/or Registered Office 2004
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2Filing Fee $35.00 for each corporation listed
DOMESTIC
BUSINESS CORPORATION
STATE OF MAINE
CHANGE OF CLERK and/or
_____________________
REGISTERED OFFICE
Deputy Secretary of State
A True Copy When Attested By Signature
_____________________
______________________________________
Deputy Secretary of State
(Name of Corporation)
Pursuant to
13-C MRSA
§501, the undersigned corporation executes and delivers the following Change of Clerk and/or Registered
Office:
FIRST:
("X" all boxes that apply)
A.
change of registered office
B.
change of clerk and registered office
C.
change of clerk
D.
change in name of current clerk
SECOND:
The name and registered office 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 address of the new registered office (provide address information only);
B.
The name and registered office of the new clerk, who must be a Maine resident (provide name and address
information);
C.
The name of the new clerk, who must be a Maine resident (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)
FOURTH:
Upon a change in clerk, one of the following must be completed: ("X" one box only.)
The change of clerk was duly authorized by the board of directors of the corporation and that the power to
appoint the clerk is not reserved to the shareholders by the articles or the bylaws.
The change of clerk was duly authorized by the shareholders of the corporation.
FORM NO. MBCA-3 (1 of 2)
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