Form Mnpca-17 - Nonprofit Corporation Certificate Of Correction Page 2
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1
2FIFTH:
Said document as so corrected is effective as of the date of original filing set forth in Article FIRST, except as to those
persons who are substantially and adversely affected by the correction, and as to those persons the corrected document
shall be effective from the date this certificate of correction is filed by the Secretary of State.
SIXTH:
The address of the registered office of the corporation in the State of Maine is ________________________________
_______________________________________________________________________________________________
(street, city, state and zip code)
DATED _________________________
*By ___________________________________________________
(signature)
____________________________________________________
(type or print name and capacity)
*By ___________________________________________________
(signature)
___________________________________________________
(type or print name and capacity)
Note:
If this document changes the Registered Agent and the new Registered Agent does not sign, Form MNPCA-
18
(13-B MRSA §304.3
or
13-B MRSA
§1212.1-A) must accompany this document.
The undersigned hereby accepts the appointment as registered agent for the above named nonprofit corporation.
REGISTERED AGENT
DATED __________________________
___________________________________________________
___________________________________________________
)
(signature)
(type or print name
For Registered Agent which is a Corporation
Name of Corporation ____________________________________________________________________________________________
By ________________________________________________
___________________________________________
(authorized signature)
(type or print name and capacity)
*This document MUST be signed by any duly authorized officer.
(13-B MRSA
§104.1.B)
SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE,
101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101
FORM NO. MNPCA-17 (2 of 2) Rev. 9/16/2005
TEL. (207) 624-7752
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