Maine > Secretary Of State > Nonprofit Corporation > Domestic Or Foreign
Statement Of Intention To Carry On Activities Under Assumed Or Fictitious Name MNPCA-5 - Maine
| Statement Of Intention To Carry On Activities Under Assumed Or Fictitious Name Form. This is a Maine form and can be used in Domestic Or Foreign Nonprofit Corporation Secretary Of State . |
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Filing Fee $25.00 NONPROFIT CORPORATION STATE OF MAINE STATEMENT OF INTENTION TO CARRY ON ACTIVITIES UNDER AN ASSUMED OR FICTITIOUS NAME _____________________ Deputy Secretary of State A True Copy When Attested By Signature ______________________________________ (Real Name of Corporation) _____________________ Deputy Secretary of State Pursuant to 13-B MRSA §308-A, the undersigned corporation executes and delivers the following Statement of Intention to Carry on Activities Under an Assumed or Fictitious Name: FIRST: The address of the registered office of the corporation in the State of Maine is ________________________________ ______________________________________________________________________________________________. (street, city, state and zip code) SECOND: ("X" one box only.) assumed name (13-B MRSA §308-A.1) fictitious name (13-B MRSA §308-A.2) The corporation intends to carry on activities under the assumed or fictitious name of ______________________________________________________________________________________________. Please note: A fictitious name is a name adopted by a foreign corporation authorized to carry on activities in this State because its real name is unavailable pursuant to 13-B MRSA §301-A. Complete the following if applicable: THIRD: If such assumed name is to be used at fewer than all of the corporation's places of activity in this State, the location(s) where it will be used is (are): ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ FORM NO. MNPCA-5 (1 of 2) American LegalNet, Inc. www.FormsWorkFlow.com FOURTH: (Foreign Corporation Only) Jurisdiction of incorporation ______________________________________________________ and the date on which the corporation was authorized to carry on activities in Maine _____________________________________________ DATED _________________________ *By ___________________________________________________ (signature) __________________________________________________ (type or print name and capacity) *By ___________________________________________________ (signature) __________________________________________________ (type or print name and capacity) *This document MUST be signed by any duly authorized officer. (13-B MRSA §104.1.B) 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. MNPCA-5 (2 of 2) Rev. 9/16/2005 TEL. (207) 624-7752 American LegalNet, Inc. www.FormsWorkFlow.com
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