Form Mnpca-11 - Statement Of Intent To Dissolve printable pdf download

Form Mnpca-11 - Statement Of Intent To Dissolve

DOMESTIC

NONPROFIT CORPORATION

STATE OF MAINE

ST A TEMENT OF INTENT TO DISSOL VE

(Written Consent of Members or Directors)

(Name of Corporation)

Pursuant to 13-B MRSA §1101, the undersigned corporation executes and delivers for filing the following statement of intent to

dissolve the corporation.

FIRST:

The names and respective addresses of its officers and directors are

Address

President

Treasurer

Secretary

Directors :

(List additional directors on reverse side)

SECOND:

:"x" one box only)

Exhibit A attached hereto is a copy of the written consent signed by

All members

of the corporation

entitled

to vote.

D All directors of the corporation, there being no members or no members entitled to vote.

nnRD:

All required Reports have been fIled with the Secretary of State. (Note: If the dissolution process is completed on or

before June lst, then the Report covering the previous calendar year is not required.)

FOURm:

The undersigned corporation understands that the fIling of this document DOES NOT complete the dissolution

process. You must ALSO FILE Articles of Dissolution.

FIFm:

The address of the registered office of the corporation in the State of Maine is

(street, city, state aOO zip code)

Form Mnpca-11 - Statement Of Intent To Dissolve