FIFTH:
The address of the registered office in the State of Maine of _______________________________________________
the participating domestic corporation is: _____________________________________________________________
_______________________________________________________________________________________________
(street, city, state and zip code)
The address of the registered office of ________________________________________________________________
the participating foreign corporation is:* ______________________________________________________________
_______________________________________________________________________________________________
(street, city, state and zip code)
SIXTH:
Effective date of the consolidation (if later than date of filing of Articles) is __________________________________
(Not to exceed 60 days from date of filing of the Articles)
DATED _________________________
___________________________________________________
(name of corporation)
**By __________________________________________________
MUST BE COMPLETED FOR VOTE
(signature)
OF MEMBERS
___________________________________________________
I certify that I have custody of the minutes showing
(type or print name and capacity)
the above action by the members.
**By __________________________________________________
___________________________________________
(signature)
(name of corporation)
___________________________________________________
___________________________________________
(type or print name and capacity)
(signature of clerk, secretary or asst. secretary)
DATED ________________________
__________________________________________________
(name of corporation)
**By __________________________________________________
MUST BE COMPLETED FOR VOTE
(signature)
OF MEMBERS
___________________________________________________
I certify that I have custody of the minutes showing
(type or print name and capacity)
the above action by the members.
**By __________________________________________________
___________________________________________
(signature)
(name of corporation)
__________________________________________________
___________________________________________
(type or print name and capacity)
(signature of clerk, secretary or asst. secretary)
NOTE: If a domestic corporation is the result of this consolidation, THIS FORM MUST BE ACCOMPANIED BY FORM MNPCA-
18 (Acceptance of Appointment as Registered Agent §304.3.).
*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.
**This document MUST be signed by any duly authorized officer.
(13-B MRSA
§104.1.B)
SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE,
101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101
FORM NO. MNPCA-10E Rev. 8/23/2006
TEL. (207) 624-7752