Form Mbca-21 - Domestic Business Corporation Articles Of Entity Conversion
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1Filing Fee $145.00
DOMESTIC
BUSINESS CORPORATION
STATE OF MAINE
ARTICLES OF ENTITY CONVERSION
_____________________
Deputy Secretary of State
A True Copy When Attested By Signature
______________________________________
_____________________
(Name of Corporation Prior to Conversion)
Deputy Secretary of State
Pursuant to
13-C MRSA
§955.1, the undersigned corporation executes and delivers the following Articles of Entity Conversion:
FIRST:
The name of the corporation is changed as follows (the name must satisfy the organic law of the surviving entity):
_______________________________________________________________________________________________
SECOND:
The type of unincorporated entity that the surviving entity will be: _________________________________________.
THIRD:
The plan of entity conversion was duly approved by the shareholders in the manner required by this Act and the
corporation’s articles of incorporation.
FOURTH:
If the surviving entity is a filing entity, attached is Exhibit ________ which contains all the provisions required to be set
forth in its public organic document with any other desired provisions that are permitted.
For a Domestic Limited Liability Company, attach form MLLC-6.
For a Domestic Limited Partnership, attach form MLPA-6-1.
FIFTH:
The effective date of the articles of entity conversion (if other than the date of filing of the articles of entity conversion)
is _______________________________.
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 §955.1)
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-21 (1 of 1) Rev. 12/13/2013
TEL. (207) 624-7752
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