SIXTH:
When a merger becomes effective, a foreign corporation or a foreign other entity that is the survivor of the merger is
deemed to appoint the Secretary of State as its agent for service of process in a proceeding to enforce the rights of
shareholders of each domestic corporation that is a party to the merger who exercise appraisal rights. The foreign
corporation or the foreign other entity shall provide the mailing address to which the Secretary of State may mail a copy
of any process served on the Secretary of State.
_______________________________________________________________________________________________
(mailing address)
SEVENTH:
The foreign corporation or foreign other entity agrees that it will promptly pay the amount, if any, to which the
shareholders are entitled under
chapter
13.
DATED _________________________
_______________________________________________
______________________________________________
(name of entity)
(name of entity)
*By _______________________________________________
*By _____________________________________________
(signature of an officer or other duly authorized representative)
(signature of an officer or other duly authorized representative)
_______________________________________________
______________________________________________
(type or print name and capacity)
(type or print name and capacity)
_______________________________________________
______________________________________________
(name of entity)
(name of entity)
*By _______________________________________________
*By _____________________________________________
(signature of an officer or other duly authorized representative)
(signature of an officer or other duly authorized representative)
_______________________________________________
______________________________________________
(type or print name and capacity)
(type or print name and capacity)
_______________________________________________
______________________________________________
(name of entity)
(name of entity)
*By _______________________________________________
*By _____________________________________________
(signature of an officer or other duly authorized representative)
(signature of an officer or other duly authorized representative)
_______________________________________________
______________________________________________
(type or print name and capacity)
(type or print name and capacity)
*This document MUST be signed by an officer or other duly authorized representative on behalf of each party. (§1106.1)
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-10 (2 of 2) 7/1/2003
TEL. (207) 624-7740