Filing Fee $5.00
NONPROFIT CORPORATION
STATE OF MAINE
APPLICATION FOR
_____________________
RESERVATION OF NAME
Deputy Secretary of State
A True Copy When Attested By Signature
_____________________
Deputy Secretary of State
Pursuant to
13-B MRSA §302-A.1,
the undersigned applicant executes and delivers the following Application for Reservation of
Name:
_____________________________________________________________________________________________________________
(Name to be reserved)
Name of applicant _____________________________________________________________________________________________
Address of applicant ____________________________________________________________________________________________
APPLICANT
DATED __________________________
___________________________________________________
___________________________________________________
(signature of applicant)
(type or print name and capacity)
•
Names are reserved for a period of 120 days and may not be renewed.
The Secretary of State will not act as an agent by holding applications for filing upon expiration of an existing reservation. Timely
•
filing is the responsibility of the applicant.
•
This application serves only as a reservation of the right to the use of a name. Actual use of the name is not recommended until the
purpose for which the name is reserved is completed.
Please remit your payment made payable to the Maine Secretary of State.
SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE,
101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101
FORM NO. MNPCA-1 Rev. 11-1-2008
TEL. (207) 624-7752