Form Mbca-12a - Amended Application For Authority To Do Business

Form Mbca-12a - Amended Application For Authority To Do Business - State Of Maine

FOREIGN

BUSINESS

CORPORATION

STATE OF MAINE

AMENDED APPLICATION

FOR

AUTHORITY

TO DO BUSINESS

(Name of Corporation)

Pursuant to 13-A MRSA §1207, the undersigned foreign corporation authorized to do business in the State of Maine executes and

delivers for filing this amendment of its application for authority as follows:

FIRST:

The jurisdiction of its incorporation is

SECOND:

The date on which it was authorized to do business in the State of Maine is

11llRD:

The proposed amendment to its application of authority is

FOUR111:

The corporate name of the corporation has been changed to (if no change, so indicate)

under the laws of its jurisdiction of

incorporation on (date)

FIFfH:

The business which it seeks to pursue in the State of Maine is authorized by the laws of its jurisdiction of

incorporation and consists of (if no change, so indicate)

SIXTH:

The ~

address of its registered or principal office, wherever located, is (if no change, so indicate)

(street, city, state and zip code)

SEVENTH:

The address of the registered office of the corporation in the State of Maine is

(street, city, state aOO zip code)

Form Mbca-12a - Amended Application For Authority To Do Business - State Of Maine