Filing Fee $5.00
NONPROFIT CORPORATION
STATE OF MAINE
CHANGE OF REGISTERED AGENT ONLY
or CHANGE OF REGISTERED AGENT
Deputy Secretary of State
AND REGISTERED OFFICE
A True Copy When Attested By Signature
______________________________________
Deputy Secretary of State
(Name of Corporation)
Pursuant to 13-B MRSA §305.1 or §1212.2, the undersigned corporation executes and delivers for filing the following change(s);
authorized by a resolution duly adopted by the board of directors:
FIRST:
The name and registered office of the registered agent appearing on the record in the Secretary of State's office:
_________________________________________________________________________________________________
(name)
_________________________________________________________________________________________________
(street, city, state and zip code)
SECOND:
The name and registered office of the successor (new) registered agent who must be a Maine resident, whose office is
identical with the registered office; or a corporation, domestic or foreign, profit or nonprofit, having an office
identical with such registered office:
_________________________________________________________________________________________________
(name)
_________________________________________________________________________________________________
(physical location - street (not P.O. Box), city, state and zip code)
_________________________________________________________________________________________________
(mailing address if different from above)
THIRD:
(To be completed by a foreign corporation.)
A. Jurisdiction of incorporation ______________________________________________________________
B. Date of authorization to carry on activities in this State _________________________________________