DOMESTIC
BUSINESS CORPORATION
STATE OF MAINE
ST A TEMENT OF CANCELLATION
OF REDEEMABLE
SHARES
(Name of Corporation)
Pursuant to 13-A MRSA §520.3, the undersigned corporation submits the following statement of cancellation by redemption or
purchase of redeemable shares of the corporation:
FIRST:
The number of redeemable shares reacquired and cancelled by redemption or purchase, itemized by classes and series
are as follows:
~
~
Number of Shares
SECOND:
The number of shares which the corporation has authority to issue, after giving effect to such cancellation, itemized
by classes and series are as follows:
~
~
Number of Shares
THIRD:
The aggregate par value of all such shares (of all classes and series) havin1! oar value is $
The total number of all such shares (of all classes and series) without oar value is
shares
FOURm:
The address of the registered office of the corporation in the State of Maine is
(street, city, state aOO zip code)