Form Mnpca-11b - Statement Of Revocation Of Voluntary Dissolution Proceedings Page 2
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1
2DATED _________________________
*By __________________________________________________
(signature)
__________________________________________________
MUST BE COMPLETED FOR VOTE
(type or print name and capacity)
OF MEMBERS
*By __________________________________________________
I certify that I have custody of the minutes showing
(signature)
the above action by the members.
__________________________________________________
(type or print name and capacity)
____________________________________________
(signature of clerk, secretary or asst. secretary)
*This document MUST be signed by
(1) the Clerk or Secretary OR
(2) the President or a vice-pres. together with the Secretary or an ass’t. sec., or a 2nd certifying officer OR
(3) if no such officers, then a majority of the Directors OR
(4) if no such directors, then the Members.
SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE,
101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101
FORM NO. MNPCA-11B
Rev. 4/16/2001
TEL. (207) 624-7740
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