Form Mbca-12 - Application For Authority To Do Business For A Foreign Business Corporation - 2016

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FOREIGN
BUSINESS CORPORATION
STATE OF MAINE
APPLICATION FOR
AUTHORITY TO DO BUSINESS
_____________________
(Check box only if applicable.)
Deputy Secretary of State
This is a professional corporation pursuant to
13 MRSA Chapter
22-A.** (see footnote)
A True Copy When Attested By Signature
_____________________
______________________________________
Deputy Secretary of State
(Name of Corporation in Jurisdiction of Incorporation)
Pursuant to
13-C MRSA
§1503, the undersigned corporation executes and delivers the following Application for Authority to do Business:
FIRST:
If the legal corporate name does not meet the requirements pursuant to
§401
and/or
13 MRSA Chapter 22-A
§736
(if a professional corporation) a fictitious name under which it proposes to apply for authority to do business in the
State of Maine is: (If not applicable, so indicate.) If using a fictitious name, form MBCA-5 must be included.
____________________________________________________________________________________________
A fictitious name is a name adopted by a foreign corporation authorized to transact business in this State because
its real name is unavailable pursuant to §401.
SECOND:
The Registered Agent is a: (select either a Commercial or Noncommercial Registered Agent)
Commercial Registered Agent
CRA Public Number: __________________
__________________________________________________________________________________
(name of commercial registered agent)
Noncommercial Registered Agent
__________________________________________________________________________________
(name of noncommercial registered agent)
__________________________________________________________________________________
(physical location, not P.O. Box – street, city, state and zip code)
__________________________________________________________________________________
(mailing address if different from above)
THIRD:
Pursuant to
5 MRSA
§108.3, the new commercial registered agent listed above has consented to serve as the registered
agent for this corporation.
FOURTH:
(For professional corporations only)
All of the professional corporation’s shareholders, not less than a majority of its directors and all of its officers other
than its clerk, secretary and treasurer, if any, are licensed in one or more states to render a professional service described
in its articles of incorporation.
Form No. MBCA-12 (1 of 2)

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