Form Mnpca-11a - Statement Of Intent To Dissolve
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1
2Filing Fee $10.00
DOMESTIC
NONPROFIT CORPORATION
STATE OF MAINE
STATEMENT OF INTENT TO DISSOLVE
_____________________
(Vote of Members or Directors)
Deputy Secretary of State
A True Copy When Attested By Signature
______________________________________
_____________________
Deputy Secretary of State
(Name of Corporation)
Pursuant to
13-B MRSA
§1101, the undersigned corporation executes and delivers for filing the following statement of intent to
dissolve the corporation.
FIRST:
The names and respective addresses of its officers and directors are:
Title
Name
Address
President
__________________________________________
______________________________________________
Treasurer
__________________________________________
______________________________________________
Secretary
__________________________________________
______________________________________________
Clerk
__________________________________________
______________________________________________
Directors:
__________________________________________
______________________________________________
__________________________________________
______________________________________________
__________________________________________
______________________________________________
(List additional directors on reverse side)
SECOND:
("X" one box only) Exhibit A attached hereto is a copy of the resolution adopted by:
The members of the corporation entitled to vote.
The directors of the corporation, there being no members or no members entitled to vote.
FORM NO. MNPCA-11A (1 of 2)
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