Free APPLICANTDATED __________________________ - Maine

Filing Fee $20.00

BUSINESS CORPORATION STATE OF MAINE

APPLICATION FOR RESERVATION OF NAME

_____________________ Deputy Secretary of State

A True Copy When Attested By Signature

_____________________ Deputy Secretary of State

Pursuant to 13-C MRSA §402.1, the undersigned applicant executes and delivers the following Application for Reservation of Name: _____________________________________________________________________________________________________________
(Name to be reserved)

Name of applicant ______________________________________________________________________________________________ Address of applicant ____________________________________________________________________________________________

APPLICANT __________________________________________________
(signature of applicant)

DATED __________________________ ______________________________________________________
(type or print name and capacity)

· · ·

Names are reserved for a period of 120 days and may not be renewed. The Secretary of State will not act as an agent by holding applications for filing upon expiration of an existing reservation. Timely filing is the responsibility of the applicant. This application serves only as a reservation of the right to the use of a name. Actual use of the name is not recommended until the purpose for which the name is reserved is completed.

Please remit your payment made payable to the Maine Secretary of State. SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE, 101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101 FORM NO. MBCA-1 7/1/2003 TEL. (207) 624-7752