Form Mnpca-14 - Application For Excuse - Maine Secretary Of State

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DOMESTIC
NONPROFIT CORPORATION
STATE OF MAINE
APPLICATION
FOR EXCUSE
(Name of Corporation)
Pursuant to 13-B MRSA §1301.5, the undersigned corporation executes and delivers for fIling this Application for Excuse:
President
Treasurer
I,
Clerk
or
Secre~
(circle
title)
of the above named corporation, a corporation duly organized under the laws of the State of Maine, certify that said corporation
ceased to carry on activities on (date)
Application is made to be excused from further filing an annual
report with the Secretary of State of Maine, so long as the corporation in fact carries on no activities.
I further certify that all required Annual Reports have been fIled with the Secretary of State. (Note: If the excuse process is
completed on or before June lst, then the Annual Report covering the previous calendar year is not required
DATED
(signattlre)
NOTE:
The excuse is effective upon acceptance by the Office of the Secretary of State
SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE,
101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101
FORM NO. MNPCA-14 Rev.7/2000
TEL. (207} 287-4195

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