Filing Fee $15.00 for each corporation listed
NONPROFIT CORPORATION
STATE OF MAINE
CHANGE OF REGISTERED AGENT
_____________________
and/or
Deputy Secretary of State
REGISTERED OFFICE
A True Copy When Attested By Signature
_____________________
______________________________________
Deputy Secretary of State
(Name of Corporation)
Pursuant to
13-B MRSA §305.1
or
13-B MRSA
§1212.2, the undersigned corporation executes and delivers for filing the following
Change of Registered Agent and/or Registered Office as authorized by a resolution duly adopted by the board of directors:
FIRST:
("X" all boxes that apply)
A.
change of registered office
B.
change of registered agent and registered office
C.
change of registered agent
D.
change in name of current registered agent
SECOND:
The name and registered office of the registered agent appearing on the record in the Secretary of State's office:
________________________________________________________________________________________________
(name of current registered agent)
________________________________________________________________________________________________
(street, city, state and zip code)
THIRD:
Complete this Item as follows based on your selection in Item First:
A.
The address of the new registered office (provide address information only);
B.
The name and registered office of the new registered agent, who must be an individual Maine resident or a
corporation, foreign or domestic, authorized to do business or carry on activities in Maine (provide name
and address information);
C.
The name of the new registered agent, who must be an individual Maine resident or a corporation, foreign
or domestic, authorized to do business or carry on activities in Maine (provide name only); OR
D.
The new name of the current registered agent (provide name only).
________________________________________________________________________________________________
(name of new registered agent or new name of current registered agent)
________________________________________________________________________________________________
(physical location, not P.O. Box – street, city, state and zip code)
________________________________________________________________________________________________
(mailing address if different from above)
FORM NO. MNPCA-3 (1 of 3)
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