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Form Mbca-5a - Termination Of Statement Of Intention To Do Business Under An Assumed Name - Maine Secretary Of State,

BUSINESS CORPORATION

STATE OF MAINE

TERMINATION

OF STATEMENT

OF INTENTION TO DO BUSINESS

UNDER AN ASSUMED NAME

(Name of Corporation)

Pursuant to l3-A

MRSA

§307 .7, the undersigned, a corporation

(incorporated

under the laws of the State of Maine),

(incorporated

under the laws of the State of,

and authorized to do business in Maine), gives the following

notice:

FIRST:

The corporation no longer intends to transact business under and intends to terminate the assumed name of

SECOND:

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

(street, city, state and zip code)

DATED

*By

( signattlre )

(tyPe or print name and capacity)

*By

(signature)

(tyPe or print name and capacity)

*If this is a domestic corporation, this document ~

be signed by

(I) the ~

(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 Holders of a majoritv of all outstandinl! shares OR

(5) the Holders of all of the outstandinl! shares.

*If this is a foreign corporation, this document MUST be signed by any duly authorized individual.

SUBMIT COMPLETED

FORMS TO: CORPORATE EXAMINING

SECTION, SECRETARY OF STATE,

101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101

FORM NO. MBCA-5A

Rev.8/2000

TEL.

(207} 287-4195

Form Mbca-5a - Termination Of Statement Of Intention To Do Business Under An Assumed Name - Maine Secretary Of State,

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