Maine > Secretary Of State > Business Corporation > Foreign
Application For Authority To Do Business MBCA-12 - Maine
| Application For Authority To Do Business Form. This is a Maine form and can be used in Foreign Business Corporation Secretary Of State . |
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Filing Fee $250.00 FOREIGN BUSINESS CORPORATION STATE OF MAINE APPLICATION FOR AUTHORITY TO DO BUSINESS _____________________ (Check box only if applicable.) Deputy Secretary of State This is a professional corporation pursuant to 13 MRSA Chapter 22-A.** A True Copy When Attested By Signature _____________________ ______________________________________ Deputy Secretary of State (Name of Corporation in Jurisdiction of Incorporation) Pursuant to 13-C MRSA 1503, the undersigned corporation executes and delivers the following Application for Authority to do Business: FIRST: The name under which it proposes to apply for authority to do business in the State of Maine is ______________________________________________________________________ ________________________. SECOND: (For professional corporations only) All of the professional corporations shareholders, not less than a majority of its directors and all of its officers other than its clerk, secretary and treasurer, if any, are licensed in one or more states to render a professional service described in its articles of incorporation. THIRD: If the real corporate name is not available, the fictitious name under which it proposes to apply for authority to do business in the State of Maine: (If not applicable, so indicate.) ______________________________________________________________________ _________________________ Form MBCA-5 accompanies this application. A fictitious name is a name adopted by a foreign corporation authorized to transact business in this State because its real name is unavailable pursuant to 401. FOURTH: Its jurisdiction of incorporation is _________________________________ (state or country) and the date of incorporation is ______________________. FIFTH: Address of the principal office, wherever located, is: ______________________________________________________________________ _________________________ (street, city, state and zip code) _______________________________________________________________________ ________________________ (mailing address if different from above) FORM NO. MBCA-12 (1 of 3) <<<<<<<<<********>>>>>>>>>>>>> 2SIXTH: The name of its Registered Agent, an individual resident in Maine, a domestic business or nonprofit corporation, a foreign business or nonprofit corporation authorized to do business or carry on activities in Maine, and the registered office (which is identical to the business office) in Maine shall be: ______________________________________________________________________ _________________________ (nam e) ______________________________________________________________________ _________________________ (physical location, not P.O. Box street, city, state and zip code) _______________________________________________________________________ ________________________ (ailing addrmess if different from above) SEVENTH: The names and usual business addresses of its current diors and offirectcers: (Attach additional pages, if necessary.) ___________________________________________________ Street _______________________________________________ (type or print name and capacity) (street or mailin g address) ___________________________________________________ (city, state and zip co de) ___________________________________________________ Street ______________________________________________ (type or print name and capacity) (street or mailin g address) ___________________________________________________ (city, state and zip co de) ___________________________________________________ Street _______________________________________________ (type or print name and capacity) (street or mailin g address) ___________________________________________________ (city, state and zip co de) ___________________________________________________ Street ______________________________________________ (type or print name and capacity) (street or mailin g address) ___________________________________________________ (city, state and zip co de) EIGHTH: This application is accompanied by a certificate of existence or a document of similar import duly authenticated by the Secretary of State or other official having custody of corporate records in the state or country under whose law the foreign corporation is incorporated. The certificate of existence must have been made not more than 90 days prior to the delivery of this application for filing. DATED _________________________ *By ___________________________________________________ (signature of any duly authorized o fficer) __________________________________________________ (type or print name and capa city) FORM NO. MBCA-12 (2 of 3) <<<<<<<<<********>>>>>>>>>>>>> 3 Acceptance of Appointment of Registered Agent The undersigned hereby accepts the appointment as registered agent for the above-named foreign business corporation. REGISTERED AGENT DATED __________________________ ___________________________________________________ ___________________________________________________ (signature) (type or print name) For Registered Agent which is a Corporation Name of Corporation _____________________________________________________________________ _______________________ By _______________________________________________ __________________________________________________ (authorized signature) (type or print name and capacity) Note: If the registered agent does not sign, Form MBCA-18. (1503.3) must accompany this document. **The professional corporation name as used in the State of Maine must contain one of the following: chartered, professional corporation, professional association or service corporation or the abbreviation P.C., P.A. or S.C.. *This document MUST be signed by any duly authorized officer. (121.5) Please remit your payment made payable to the Maine Secretary of State. SUBMIT COMPLETED FORMS TO: CORPORATE EX AMINING SECTION, SECRETARY OF STATE, 101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101 FORM NO. MBCA-12 (3 of 3) 7/1/2003 TEL. (207) 624-7740
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