Form Mnpca-11a - Form For Statement Of Intent To Dissolve - Domestic Nonprofit Corporation

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DOMESTIC
NONPROFIT CORPORATION
STATE OF MAINE
STATEMENT OF INTENT TO DISSOLVE
(Vote of Members or Directors)
(Name of Corporation)
Pursuant to 13-B MRSA §1101, the undersigned corporation executes and delivers for filing the following statement of intent to
dissolve the corporation.
FIRST:
The names and respective addresses of its officers and directors are:
~
Address
President
Treasurer
Secretary
Directors:
(List additional directors on reverse side)
SECOND:
("X" one box only)
Exhibit A attached hereto is a copy of the resolution adopted by:
D
The members
of the corporation
entitled
to vote.
D The directors of the corporation,
there being no members or no members entitled to vote.
NUMBER
Voted
For
NUMBER
Voted
Against
TIDRD:
Number of Members/Directors
and Entitled to Vote
Totals

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