Form For Appointment Of Registered Agent And Registered Office Page 2
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1
2THE
FOLLOWING
SHALL
BE
COMPLETED
BY
THE
REGISTERED
AGENT
UNLESS
THIS
DOCUMENT
IS
ACCOMPANIED
BY FORM
MNPCA-18
(§304.3.).
The undersigned hereby accepts the appointment as registered agent for the above-named nonprofit corporation.
REGISTERED AGENT
DATED
(type or print name)
(signature)
For Registered Agent which is a Corporation
Name of Corporation
By
*This document MUST be signed by
(I) the ~
or Secretary OR
(2) the President or a vice-pres. together with the Secretarv or an ass't. sec., or a 2nd certifying officer OR
(3) if no such officers, then a majority of the Directors OR
(4) if no such directors, then the Members.
SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE,
101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101
FORM NO. MNPCA-3C Rev.7/2000
TEL. (201) 287-4195
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