Form Mnpca-12a - Amended Application For Authority To Carry On Activities

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Filing Fee $5.00
FOREIGN
NONPROFIT CORPORATION
STATE OF MAINE
AMENDED APPLICATION FOR
AUTHORITY TO CARRY ON ACTIVITIES
Deputy Secretary of State
A True Copy When Attested By Signature
______________________________________
(Name of Corporation)
Deputy Secretary of State
Pursuant to 13-B MRSA §1207, the undersigned foreign corporation authorized to carry on activities 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 carry on activities in the State of Maine is ____________________________
THIRD:
The proposed amendment to its application of authority is ________________________________________________
_________________________________________________________________________________________________
FOURTH:
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)
FIFTH:
The activity (activities) which it seeks to pursue in the State of Maine is (are) authorized by the laws of its jurisdiction
of incorporation and consist(s) of (if no change, so indicate) _______________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
SIXTH:
The new 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 and zip code)

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