Form Mbca-20a - Articles Of Charter Surrender - Domestic Business Corporation
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1Filing Fee $90.00
DOMESTIC
BUSINESS CORPORATION
STATE OF MAINE
ARTICLES OF CHARTER SURRENDER
_____________________
(Upon Nonprofit Conversion)
Deputy Secretary of State
A True Copy When Attested By Signature
______________________________________
(Name of Corporation)
_____________________
Deputy Secretary of State
Pursuant to
13-C MRSA §§934
and 935, the undersigned corporation executes and delivers the following Articles of Charter
Surrender:
FIRST:
The articles of charter surrender are being filed in connection with the conversion of the corporation to a foreign
nonprofit corporation and the effective date of the conversion is (date) _____________________________________.
SECOND:
The foreign nonprofit conversion was duly approved by the shareholders in the manner required by this Act and the
corporation’s articles of incorporation.
THIRD:
The corporation’s new jurisdiction of incorporation is ___________________________________________________.
FOURTH:
The corporation shall appoint the Secretary of State as its agent for service of process in a proceeding to enforce the
rights of shareholders who exercise appraisal rights in connection with the conversion and that the domestic business
corporation shall provide a mailing address to which the Secretary of State may mail a copy of any process served on
the Secretary of State.
_______________________________________________________________________________________________
(mailing address)
FIFTH:
The corporation agrees that it will promptly pay the amount, if any, to which the shareholders are entitled under
chapter 13
of Title 13-C.
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.
(13-C MRSA
§934.1)
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-20A (1 of 1) Rev. 8/1/2004
TEL. (207) 624-7752
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