Form Mnpca-12-1 - Application For Authority To Carry On Activities

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Application for Authority to Carry on Activities
pursuant to
13-B MRSA §1202
to accompany Application for Transfer of Authority
FIRST:
The name of the corporation is:
____________________________________________________________________________________________
SECOND:
If the real corporate name is not available, the fictitious name under which it proposes to apply for authority to carry on
activities in the State of Maine is: (If not applicable, so indicate.)
______________________________________________________________________________________________
Form
MNPCA-5
accompanies this application.
A fictitious name is a name adopted by a foreign corporation authorized to carry on activities in this State because
its real name is unavailable pursuant to
13-B MRSA
§301-A.
THIRD:
Its jurisdiction of incorporation is _____________________ and the date of incorporation is ____________________.
FOURTH:
Purpose(s) it is authorized to do under the laws of its jurisdiction of incorporation: ____________________________
______________________________________________________________________________________________
FIFTH:
Does it seek authority to engage in all activities authorized in its jurisdiction and allowed by Maine Law?
Yes
No If no, specify activity (activities) for which authority is sought. _____________________________
______________________________________________________________________________________________
SIXTH:
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)
Form No. MNPCA-12-1 (1 of 2)

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