Form Mbca-3 - Change Of Clerk Only Or Change Of Clerk And Registered Office - Maine Secretary Of State Page 2

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DATED
*By
(signature)
(type or print name aIxl capacity)
*By
(signature)
(type or print name aOO capacity)
THE
FOLWWING
SHALL
BE COMPLETED
BY THE
CLERK
UNLESS
11llS
DOCUMENT
IS ACCOMPANIED
BY
FORM
MBCA-18A
(§304.2-A.).
The undersigned hereby accepts the appointment as clerk for the above-named domestic business corporation.
CLERK
DATED
(tyPe or print name)
(signattlre)
*This document ~
be signed by
(I) the NEW Clerk 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 Uirectors OR
(4) if no such directors, then the Holders of a majority of all outstandinf! shares OR
(5) the Holders of all of the outstandinf! shares.
SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SEC11ON, SECRETARY OF STATE,
101 STATE HOUSE STA11ON, AUGUSTA, ME 04333-0101
FORM NO. MBCA-3 Rev.7/2000
TEL. (201) 287-4195

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