Free MBCA-20 - Maine

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DOMESTIC BUSINESS CORPORATION STATE OF MAINE

ARTICLES OF NONPROFIT CONVERSION

_____________________ Deputy Secretary of State A True Copy When Attested By Signature _____________________ Deputy Secretary of State

______________________________________
(Name of Corporation Prior to Conversion)

Pursuant to 13-C MRSA §933, the undersigned corporation executes and delivers the following Articles of Nonprofit Conversion: FIRST: If the corporate name does not satisfy the requirements of 13-B MRSA §301-A (Maine Nonprofit Corporations Act) or the corporation desires to change its name in connection with the conversion, the name it proposes to use in the State of Maine: _______________________________________________________________________________________________. SECOND: THIRD: The plan of nonprofit conversion was duly approved by the shareholders in the manner required by this Act and the articles of incorporation. All the statements required to be set forth in Articles of Incorporation (Form MNPCA-6-1) are attached as Exhibit ________. FOURTH: The effective date of the articles of nonprofit conversion (if other than the date of filing of the articles of nonprofit conversion) is _______________________________.

DATED _________________________

*By __________________________________________________
(signature of an officer or other duly authorized representative)

__________________________________________________
(type or print name and capacity)

*This document MUST be signed by an officer or other duly authorized representative. (13-C MRSA §933.1) 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-20 (1 of 1) Rev. 8/1/2004 TEL. (207) 624-7752