Form Mnpca-2a - Application For Termination Of Registration Of Name

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FOREIGN
NONPROFIT CORPORATION
STATE OF MAINE
APPLICATION
FOR TERMINATION
OF
REGISTRATION
OF NAME
Deputy Secretary of State
A True Copy When Attested
By Signature
Deputy Secretary of State
(a foreign corporation)
Pursuant to 13-B MRSA §303.5, the undersigned foreign corporation, the principal or registered office of which is currently located at:
(street, city, state aIxi zip code)
hereby submits the following statement:
FIRST:
The state or territory under the laws of which it is incorporated is
SECOND:
The date of its incorporation
is
TIllRD:
That the registration of name is terminated.
DATED
*By
(signature of any duly authorized individual)
(type or print name and capacity)
*This document MUST be signed by any duly authorized individual.
SUBMIT COMPLETED
FORMS TO: CORPORATE EXAMINING
SECTION, SECRETARY OF STATE,
101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101
FORM NO. MNPCA-2A
Rev. 8/2000
TEL. (201) 287-4195

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