Filing Fee $15.00
FOREIGN
NONPROFIT CORPORATION
STATE OF MAINE
AMENDED APPLICATION FOR
_____________________
AUTHORITY TO CARRY ON ACTIVITIES
Deputy Secretary of State
A True Copy When Attested By Signature
______________________________________
(Name of Corporation)
_____________________
Deputy Secretary of State
Pursuant to
13-B MRSA
§1207, the undersigned foreign corporation executes and delivers the following Amended Application for
Authority to Carry on Activities:
FIRST:
The jurisdiction of its incorporation is ______________________________________________________________.
SECOND:
The date on which it was authorized to carry on activities in the State of Maine is __________________________.
THIRD:
The proposed amendment to its application of authority is ______________________________________________
______________________________________________________________________________________________.
FOURTH:
The corporate name of the corporation has been changed to (If no change, so indicate.) ________________________
__________________________________________________________________ under the laws of its jurisdiction of
incorporation on ______________.
(date)
FIFTH:
If the real corporate name is not available, the fictitious name under which it proposes to apply for authority to carry
on activities in the State of Maine is (If not applicable, so indicate.)
______________________________________________________________________________________________.
Form
MNPCA-5
accompanies this application.
A fictitious name is a name adopted by a foreign corporation authorized to carry on activities in this State
because its real name is unavailable pursuant to
13-B MRSA
§301-A.
SIXTH:
The activity (activities) which it seeks to pursue in the State of Maine is (are) authorized by the laws of its jurisdiction
of incorporation and consist(s) of (If no change, so indicate.) _____________________________________________
_______________________________________________________________________________________________
______________________________________________________________________________________________.
FORM NO. MNPCA-12A (1 of 2)