(I'o be filed with Articles of Consolidation when the new corporation
is to be governed by the laws of any jurisdiction other than Maine.)
TO PAY DISSENTING
Pursuant to 13-A MRSA §906.4, the undersigned corporation submits the following agreement and appointment of agent to accept
service of process .
The corporation agrees that it will promptly pay to the dissenting shareholders of any participating domestic
corporation the amount, if any, to which they are entitled under l3-A MRSA (Maine Business Corporation Act) with
respect to the rights of dissenting shareholders.
agrees that it may be served with process in the State of Maine in any proceeding to enforce any
obligation of a participating
domestic corporation or any participating
foreign corporation previously
subject to suit in
the State of Maine, or to enforce the right of dissenting shareholders of any participating
the new corporation.
The corporation irrevocably appoints the Secretary of State of Maine as its agent to accept service of process in any
The address to which the Secretary of State shall mail a copy of any process in such proceeding is
The address of the registered office of the corporation is*
(street, city, state aOO zip code)
(signature of any duly authorized individual)
(type or print name and capacity)
*Give address of registered office in Maine.
If the corporation does not have a registered office in Maine, the address given should be
the principal or registered office wherever located.
be signed by any duly authorized
SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE,
101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101
FORM NO. MBCA-I0Mb Rev.8/2000
TEL. (207} 287-4195