Maine > Secretary Of State > Nonprofit Corporation > Domestic Or Foreign
Termination Of Statement Of Intention To Carry On Activities Under Assumed Or Fictitious Name MNPCA-5A - Maine
| Termination Of 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 $5.00 NONPROFIT CORPORATION STATE OF MAINE TERMINATION OF 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.8, the undersigned corporation executes and delivers the following Termination of Statement of Intention to Carry on Activities Under an Assumed or Fictitious Name: FIRST: SECOND: The corporation no longer intends to carry on activities under an assumed or fictitious name. The corporation intends to terminate the assumed or fictitious name of ______________________________________________________________________________________________. THIRD: The address of the registered office of the corporation in the State of Maine is ________________________________ ______________________________________________________________________________________________. (street, city, state and zip code) 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-5A Rev. 9/16/2005 TEL. (207) 624-7752 American LegalNet, Inc. www.FormsWorkFlow.com
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