Filing Fee $45.00
FOREIGN
NONPROFIT CORPORATION
STATE OF MAINE
APPLICATION FOR
_____________________
AUTHORITY TO CARRY ON ACTIVITIES
Deputy Secretary of State
A True Copy When Attested By Signature
________________________________________
_____________________
(Name of Corporation in Jurisdiction of Incorporation)
Deputy Secretary of State
Pursuant to
13-B MRSA
§1202, the undersigned corporation executes and delivers the following Application for Authority to Carry on
Activities:
FIRST:
If the real corporate name is not available, the fictitious name under which it proposes to apply for authority to carry on
activities in the State of Maine is: (If not applicable, so indicate.)
_______________________________________________________________________________________________
Form
MNPCA-5
accompanies this application.
A fictitious name is a name adopted by a foreign corporation authorized to carry on activities in this State because
its real name is unavailable pursuant to
13-B MRSA
§301-A.
SECOND:
Its jurisdiction of incorporation is _____________________ and the date of incorporation is ___________________.
THIRD:
Purpose(s) it is authorized to do under the laws of its jurisdiction of incorporation:
_______________________________________________________________________________________________
_______________________________________________________________________________________________
FOURTH:
Does it seek authority to engage in all activities authorized in its jurisdiction and allowed by Maine Law?
Yes
No If no, specify activity (activities) for which authority is sought. __________________________
_______________________________________________________________________________________________
FIFTH:
Address of the registered or principal office, wherever located, is _________________________________________
______________________________________________________________________________________________.
(street, city, state and zip code)
Form No. MNPCA-12 (1 of 2)