Form Mbca-10 - Articles Of Merger Or Share Exchange Page 3

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Must Be Completed By the First Party to the Merger
__________________________________________________________________________
_____________________________
(Name and type of participating business entity)
(Date)
___________________________________________________
___________________________________________
(*Authorized signature)
(Type or print name and capacity)
___________________________________________________
___________________________________________
(*Authorized signature)
(Type or print name and capacity)
Must Be Completed By the Second Party to the Merger
__________________________________________________________________________
_____________________________
(Name and type of participating business entity)
(Date)
___________________________________________________
___________________________________________
(*Authorized signature)
(Type or print name and capacity)
___________________________________________________
___________________________________________
(*Authorized signature)
(Type or print name and capacity)
Must Be Completed By the Third Party to the Merger
__________________________________________________________________________
_____________________________
(Name and type of participating business entity)
(Date)
___________________________________________________
__________________________________________
(*Authorized signature)
(Type or print name and capacity)
___________________________________________________
__________________________________________
(*Authorized signature)
(Type or print name and capacity)
(Copy this page, and modify participant number, if more signature spaces are needed.)
*Articles MUST be signed as follows:
(1)
If a corporation is a party to the merger/share exchange, this document must be signed by an officer or other duly
authorized representative on behalf of each party.
(13-C MRSA
§1106.1).
(2)
If a limited partnership is a party to the merger/share exchange, this document must be signed by each general partner
listed in the certificate of limited partnership
(31 MRSA
§1438.1)
(3)
If a limited liability company is a party to the merger/share exchange, this document must be signed by:
(a)
at least one manager OR
(b)
at least one member if the limited liability company is managed by the members OR
(c)
any duly authorized person.
The execution of this certificate constitutes an oath or affirmation, under the penalties of false swearing under
17-A MRSA
§453.
Please remit your payment made payable to the Maine Secretary of State.
Submit completed form to:
Secretary of State
Division of Corporations, UCC and Commissions
101 State House Station
Augusta, ME 04333-0101
Telephone Inquiries: (207) 624-7752
Email Inquiries:
CEC.Corporations@Maine.gov
Form No. MBCA-10 (3 of 3) Rev. 7/1/2007

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