Free MBCA-3-NCRA - Maine


File Size: 688.7 kB
Pages: 3
File Format: PDF
State: Maine
Category: Corporations
Author: adm3
Word Count: 669 Words, 6,792 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.state.me.us/sos/cec/corp/formsnew/mbca3-ncra.pdf

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Filing Fee $35.00 for each corporation listed

DOMESTIC BUSINESS CORPORATION

STATE OF MAINE NONCOMMERCIAL CLERK STATEMENT OF APPOINTMENT or CHANGE
_____________________ Deputy Secretary of State

A True Copy When Attested By Signature

______________________________________
(Name of Corporation as it appears on the records of the Secretary of State)

_____________________ Deputy Secretary of State

Pursuant to 5 MRSA 105, 108, & 109 the undersigned corporation executes and delivers the following statement of appointment and/or change of address by a noncommercial Clerk. FIRST: A. C. SECOND: ("X" all boxes that apply) change of address change of noncommercial clerk B. D. change to/of noncommercial clerk and address change in name of current noncommercial clerk

The name and address of the clerk appearing on the record in the Secretary of State's office: _______________________________________________________________________________________________ (name of current clerk) _______________________________________________________________________________________________ (physical street address, city, state and zip code) _______________________________________________________________________________________________ (mailing address if different from above)

THIRD:

Complete this Item as follows based on your selection in Item First: A. B. C. D. The new address of the noncommercial clerk (provide address information only); The name and address of the new noncommercial clerk, who must be a Maine resident (provide name and address information); The name of the new noncommercial clerk, who must be a Maine resident (provide name only); OR The new name of the current noncommercial clerk (provide name only).

_______________________________________________________________________________________________ (name of new noncommercial clerk or new name of current noncommercial clerk) _______________________________________________________________________________________________ (physical street address, not a P.O. Box city, state and zip code) _______________________________________________________________________________________________ (mailing address if different from above)

Form No. MBCA-3-NCRA (1 of 2)

FOURTH:

Pursuant to 5 MRSA 108.3, the clerk as listed above has consented to serve as the clerk for this corporation.

FIFTH:

Upon a change in noncommercial clerk, one of the following must be completed: ("X" one box only.) The change of noncommercial clerk was duly authorized by the board of directors of the corporation and that the power to appoint the noncommercial clerk is not reserved to the shareholders by the articles or the bylaws. The change of noncommercial clerk was duly authorized by the shareholders of the corporation.

SIXTH:

The undersigned noncommercial clerk of the following corporation(s) has notified each corporation of the change indicated in Item First A or D: Name of Corporation _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ Names of additional corporations attached hereto as Exhibit ___, and made a part hereof.

DATED _________________________

*By ____________________________________________________ (signature) ____________________________________________________ (type or print name and capacity)

*This statement MUST be signed as follows: (1) if Item First, A or D was selected, then by the noncommercial clerk OR (2) if Item First, B or C was selected, then by any duly authorized officer Please remit your payment made payable to the Maine Secretary of State. Submit completed form to: Secretary of State Division of Corporations, UCC and Commissions 101 State House Station Augusta, ME 04333-0101 Telephone Inquiries: (207) 624-7752 Email Inquiries: CEC.Corporations@Maine.gov

Form No. MBCA-3-NCRA (2 of 2) 7/1/2008

Filer Contact Cover Letter

To:

Department of the Secretary of State Division of Corporations, UCC and Commissions 101 State House Station Augusta, ME 04333-0101

Tel. (207) 624-7752

Name of Entity (s): _______________________________________________________________________ _______________________________________________________________________ List type of filing(s) enclosed (i.e. Articles of Incorporation, Articles of Merger, Articles of Amendment, Certificate
of Correction, etc.) Attach additional pages as needed.

________________________________________________________________________ ________________________________________________________________________ Special handling request(s): (check all that apply) Hold for pick up Expedited filing - 24 hour service ($50 additional filing fee per entity, per service) Expedited filing - Immediate service ($100 additional filing fee per entity, per service) Total filing fee(s) enclosed: $ ________________ Contact Information questions regarding the above filing(s), please call or email: (failure to provide a contact name and telephone number or email address will result in the return of the erroneous filing (s) by the Secretary of State's office) ___________________________________
(Name of contact person)

___________________________________
(Daytime telephone number)

____________________________________________________
(Email address)

The enclosed filing(s) and fee(s) are submitted for filing. Please return the attested copy to the following address:

______________________________________________________________________________
(Name of attested recipient)

_____________________________________________________________________________________________
(Firm or Company)

_____________________________________________________________________________________________
(Mailing Address)

_____________________________________________________________________________________________
(City, State & Zip)