Articles Of Domestication And Conversion {MNPCA-19}

Filing Fee $125.00 FOREIGN NONPROFIT CORPORATION STATE OF MAINE ARTICLES OF DOMESTICATION AND CONVERSION _____________________ Deputy Secretary of State A True Copy When Attested By Signature ______________________________________ (Name of Corporation in Jurisdiction of Incorporation) _____________________ Deputy Secretary of State Pursuant to 13-C MRSA §942, the undersigned corporation executes and delivers the following Articles of Domestication and Conversion: If the real corporate name is not available or the corporation desires to change its name in connection with the domestication and conversion, the name it proposes to use in the State of Maine: ______________________________________________________________________________________________. The corporation was originally incorporated in __________________________________________ (state or country) and the original date of incorporation was ____________________________. SECOND: THIRD: The domestication and conversion of the corporation in this State was duly authorized as required by the laws of the jurisdiction in which the corporation was incorporated. All the statements required to be set forth in Articles of Incorporation (Form MBCA-6-1) are attached as Exhibit ________. FOURTH: The effective date of the articles of domestication and conversion (if other than the date of filing of the articles of domestication and conversion) is _______________________________. FIRST: 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. (§942.1) 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. MNPCA-19 7-1-2003 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