Free MBCA-10A - Maine

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STATE OF MAINE

STATEMENT OF ABANDONMENT OF MERGER OR SHARE EXCHANGE
_____________________ Deputy Secretary of State

A True Copy When Attested By Signature _______________________________________________________
(Name of party to the merger or share exchange filing this document)

_____________________ Deputy Secretary of State

Pursuant to 13-C MRSA §1108.2, the undersigned party to the merger or share exchange executes and delivers the following Statement of Abandonment of Merger or Share Exchange: The merger or share exchange has been abandoned in accordance with this section after articles of merger or share exchange have been filed with the Secretary of State but before the merger or share exchange has become effective. The names, type of entity and jurisdiction of the parties involved in the merger or share exchange are: Name Type of Entity Jurisdiction

FIRST: SECOND:

_______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ THIRD: This statement takes effect upon filing, and the merger or share exchange is considered abandoned and does not become effective. *By __________________________________________________
(signature of an officer or other duly authorized representative)

DATED _________________________

__________________________________________________
(type or print name and capacity)

*This document MUST be signed by an officer or other duly authorized representative who is a party to the merger or share exchange. (§1108.2) 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-10A 7-1-2003 TEL. (207) 624-7752