Form Mnpca-1a - Form For Transfer Of Reserved Name

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NONPROFIT CORPORATION
STATE OF MAINE
TRANSFER OF RESERVED NAME
Deputy Secretary of State
A True Copy When
Attested
By Signature
Pursuant to 13-B MRSA §302.3, the undersigned hereby
transfers the right to the exclusive use of the following
corporate name:
Deputy Secretary of State
(Name previously
reserved pursuant to §302.2.)
Name of original applicant
Name of transferee
State whether transferee is an individual,
foreign or domestic corporation
Address of transferee
(if a corporation, use address of principal or registered office indicating street, city, state and zip code)
DATED
ORIGINAL APPLICANT
(tyPe or print name)
(iOOividual must sign)
* For
an Applicant
which
is a Corporation
(tyPe or print name aIKl capacity)
(signarore)
(type or print name aIxl capacity)
(signattlre)
.11llS TRANSFER OF RESERVED NAME WILL EXPIRE 120 DAYS FROM THE DATE OF Fn.ING THE ORIGINAL
APPLICATION.
*If the original applicant is a domestic corporation, this document ~
be signed by
(I) the ~
or Secretary OR
(2) the President or a vice-pres. together with the Secretary 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.
*If the original applicant is a foreign corporation, this document MUST be signed by any duly authorized individual.
SUBWT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE,
101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101
FORM NO. MNPCA-IA
Rev.8/2000
TEL. (207} 287-4195

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