Filing Fee $5.00
DOMESTIC NONPROFIT CORPORATION
STATE OF MAINE
CERTIFICATE OF ORGANIZATION
_____________________ Deputy Secretary of State
A True Copy When Attested By Signature
_____________________ Deputy Secretary of State
Pursuant to 13 MRSA §903, the undersigned incorporator(s) execute(s) and deliver(s) for filing the following Certificate of Organization: FIRST: SECOND: The name of the corporation is _____________________________________________________________________. ("X" one box only. Attach additional page(s) if necessary.) The corporation is organized as a public benefit corporation for the following purpose or purposes:
The corporation is organized as a mutual benefit corporation for the following purpose or purposes:
THIRD:
It is located in ____________________________________________________________________________, Maine.
(municipality) (county)
FOURTH:
The number of officers is __________ and their names are as follows: President ______________________________________________________________________________________ Vice-President __________________________________________________________________________________ Secretary or Clerk _______________________________________________________________________________ Address ________________________________________________________________________________ Treasurer ______________________________________________________________________________________
FIFTH:
The Directors or Trustees are: ______________________________________________________________________ _______________________________________________________________________________________________ ______________________________________________________________________________________________.
FORM NO. MNP-6 (1 of 2)
Name and signature of Incorporators
Dated ____________________________________________
Addresses
___________________________________________________
(signature)
Street ______________________________________________ ___________________________________________________
(city, state and zip code)
___________________________________________________
(type or print name)
___________________________________________________
(signature)
Street ______________________________________________ ___________________________________________________
(city, state and zip code)
___________________________________________________
(type or print name)
___________________________________________________
(signature)
Street ______________________________________________ ___________________________________________________
(city, state and zip code)
___________________________________________________
(type or print name)
___________________________________________________
(signature)
Street ______________________________________________ ___________________________________________________
(city, state and zip code)
___________________________________________________
(type or print name)
___________________________________________________
(signature)
Street ______________________________________________ ___________________________________________________
(city, state and zip code)
___________________________________________________
(type or print name)
___________________________________________________
(signature)
Street ______________________________________________ ___________________________________________________
(city, state and zip code)
___________________________________________________
(type or print name)
___________________________________________________
(signature)
Street ______________________________________________ ___________________________________________________
(city, state and zip code)
___________________________________________________
(type or print name)
___________________________________________________
(signature)
Street ______________________________________________ ___________________________________________________
(city, state and zip code)
___________________________________________________
(type or print name)
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. MNP-6 (2 of 2) Rev. 4/18/2006 TEL. (207) 624-7752