Form For Appointment Of Registered Agent And Registered Office
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1
2DOMESTIC
NONPROFIT CORPORATION
STATE OF MAINE
APPOINTMENT OF REGISTERED AGENT
and REGISTERED OFFICE
(Name of Corporation)
Pursuant to 13-8 MRSA §305.1, the undersigned corporation executes and delivers for filing the following appointment of registered
agent and registered office, authorized by a resolution duly adopted by the board of directors:
FIRST:
The name and registered office of the registered agent who must be a Maine resident, whose address is identical with
the registered office; or a corporation,
domestic or foreign, profit or nonprofit,
having an office identical with such
registered office:
(name)
(physicallocation-
street (oot p .0. Box), city .state atxl zip code)
(mailing
address if different
from above)
DATED
*By
(signature)
(type or print name aOO capacity)
*By
(signature)
(type or print name aI¥l capacity)
(additional signature may be required on back of form)
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