Filing Fee $10.00
DOMESTIC NONPROFIT CORPORATION STATE OF MAINE
VOLUNTARY DISSOLUTION BY INCORPORATORS
_____________________ Deputy Secretary of State A True Copy When Attested By Signature _____________________ Deputy Secretary of State
______________________________________
(Name of Corporation)
Pursuant to 13-B MRSA §1101-A, the undersigned corporation adopts the following Voluntary Dissolution by Incorporators for the purpose of dissolving the corporation.
FIRST:
The filing date of its articles of incorporation was _______________________.
SECOND:
The corporation has not carried on activities.
THIRD:
No debts of the corporation remain unpaid.
FOURTH:
A majority of the incorporators consent to the dissolution of the corporation.
FIFTH:
All required Annual Reports have been filed with the Secretary of State. (Note: If the dissolution process is completed on or before June 1st, then the Annual Report covering the previous calendar year is not required.)
SIXTH:
The address of the registered office of the corporation in the State of Maine is _______________________________ _______________________________________________________________________________________________
(street, city, state and zip code)
FORM NO. MNPCA-11E
DATED _________________________
*By __________________________________________________
(incorporator)
__________________________________________________
(type or print name and capacity)
*By __________________________________________________
(incorporator)
__________________________________________________
(type or print name and capacity)
*By __________________________________________________
(incorporator)
__________________________________________________
(type or print name and capacity)
*This document MUST be signed by a majority of the incorporators. Please remit your payment made payable to the Secretary of State. SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE, 101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101 FORM NO. MNPCA-11E (2 of 2) Rev. 8/1/2004 TEL. (207) 624-7752