Articles Of Nonprofit Conversion {MBCA-20}

Filing Fee $145.00 DOMESTIC BUSINESS CORPORATION STATE OF MAINE ARTICLES OF NONPROFIT CONVERSION _____________________ Deputy Secretary of State A True Copy When Attested By Signature _____________________ Deputy Secretary of State ______________________________________ (Name of Corporation Prior to Conversion) Pursuant to 13-C MRSA §933, the undersigned corporation executes and delivers the following Articles of Nonprofit Conversion: FIRST: If the corporate name does not satisfy the requirements of 13-B MRSA §301-A (Maine Nonprofit Corporations Act) or the corporation desires to change its name in connection with the conversion, the name it proposes to use in the State of Maine: _______________________________________________________________________________________________. SECOND: THIRD: The plan of nonprofit conversion was duly approved by the shareholders in the manner required by this Act and the articles of incorporation. All the statements required to be set forth in Articles of Incorporation (Form MNPCA-6-1) are attached as Exhibit ________. FOURTH: The effective date of the articles of nonprofit conversion (if other than the date of filing of the articles of nonprofit conversion) is _______________________________. DATED _________________________ *By __________________________________________________ (signature of an officer or other duly authorized representative) __________________________________________________ (type or print name and capacity) *This document MUST be signed by an officer or other duly authorized representative. (13-C MRSA §933.1) 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. MBCA-20 (1 of 1) Rev. 8/1/2004 TEL. (207) 624-7752 American LegalNet, Inc. www.FormsWorkFlow.com Filer Contact Cover Letter To: Department of the Secretary of State Division of Corporations, UCC and Commissions 101 State House Station Augusta, ME 04333-0101 Tel. (207) 624-7752 Name of Entity (s): _______________________________________________________________________ _______________________________________________________________________ List type of filing(s) enclosed (i.e. Articles of Incorporation, Articles of Merger, Articles of Amendment, Certificate of Correction, etc.) Attach additional pages as needed. ________________________________________________________________________ ________________________________________________________________________ Special handling request(s): (check all that apply) Hold for pick up Expedited filing - 24 hour service ($50 additional filing fee per entity, per service) Expedited filing - Immediate service ($100 additional filing fee per entity, per service) Total filing fee(s) enclosed: $ ________________ Contact Information ­ questions regarding the above filing(s), please call or email: (failure to provide a contact name and telephone number or email address will result in the return of the erroneous filing (s) by the Secretary of State's office) ___________________________________ (Name of contact person) ___________________________________ (Daytime telephone number) ____________________________________________________ (Email address) The enclosed filing(s) and fee(s) are submitted for filing. Please return the attested copy to the following address: ______________________________________________________________________________ (Name of attested recipient) _____________________________________________________________________________________________ (Firm or Company) _____________________________________________________________________________________________ (Mailing Address) _____________________________________________________________________________________________ (City, State & Zip) American LegalNet, Inc. www.FormsWorkFlow.com