Form Mbca-10a - Statement Of Abandonment Of Merger Or Share Exchange 2003
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1Filing Fee $35.00
STATE OF MAINE
STATEMENT OF ABANDONMENT OF
MERGER OR SHARE EXCHANGE
_____________________
Deputy Secretary of State
A True Copy When Attested By Signature
_______________________________________________________
_____________________
(Name of party to the merger or share exchange filing this document)
Deputy Secretary of State
Pursuant to
13-C MRSA
§1108.2, the undersigned party to the merger or share exchange executes and delivers the following Statement of
Abandonment of Merger or Share Exchange:
FIRST:
The merger or share exchange has been abandoned in accordance with this section after articles of merger or share
exchange have been filed with the Secretary of State but before the merger or share exchange has become effective.
The names, type of entity and jurisdiction of the parties involved in the merger or share exchange are:
SECOND:
Name
Type of Entity
Jurisdiction
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
This statement takes effect upon filing, and the merger or share exchange is considered abandoned and does not
THIRD:
become effective.
DATED _________________________
*By __________________________________________________
(signature of an officer or other duly authorized representative)
__________________________________________________
(type or print name and capacity)
*This document MUST be signed by an officer or other duly authorized representative who is a party to the merger or share exchange.
(§1108.2)
Please remit your payment made payable to the Maine Secretary of State.
SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE,
101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101
FORM NO. MBCA-10A 7-1-2003
TEL. (207) 624-7752
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