Name and signature of Incorporators
Addresses
Dated ____________________________________________
___________________________________________________
Street ______________________________________________
(signature)
___________________________________________________
___________________________________________________
(type or print name)
(city, state and zip code)
___________________________________________________
Street ______________________________________________
(signature)
___________________________________________________
___________________________________________________
(type or print name)
(city, state and zip code)
___________________________________________________
Street ______________________________________________
(signature)
___________________________________________________
___________________________________________________
(type or print name)
(city, state and zip code)
___________________________________________________
Street ______________________________________________
(signature)
___________________________________________________
___________________________________________________
(type or print name)
(city, state and zip code)
___________________________________________________
Street ______________________________________________
(signature)
___________________________________________________
___________________________________________________
(type or print name)
(city, state and zip code)
___________________________________________________
Street ______________________________________________
(signature)
___________________________________________________
___________________________________________________
(type or print name)
(city, state and zip code)
___________________________________________________
Street ______________________________________________
(signature)
___________________________________________________
___________________________________________________
(type or print name)
(city, state and zip code)
___________________________________________________
Street ______________________________________________
(signature)
___________________________________________________
___________________________________________________
(type or print name)
(city, state and zip code)
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. MNP-6 (2 of 2) Rev. 4/18/2006
TEL. (207) 624-7752