Statement Of Intent To Dissolve By Vote Of Members Or Directors {MNPCA-11A} | Pdf Fpdf Doc Docx | Maine

Statement Of Intent To Dissolve By Vote Of Members Or Directors {MNPCA-11A}

Maine/Secretary Of State/Nonprofit Corporation/Domestic/
Statement Of Intent To Dissolve By Vote Of Members Or Directors {MNPCA-11A} | Pdf Fpdf Doc Docx | Maine

Statement Of Intent To Dissolve By Vote Of Members Or Directors Form

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This is a Maine form that can be used for Domestic within Secretary Of State, Nonprofit Corporation.

Last updated: 8/4/2016
Filing Fee $10.00 DOMESTIC NONPROFIT CORPORATION STATE OF MAINE STATEMENT OF INTENT TO DISSOLVE (Vote of Members or Directors) _____________________ Deputy Secretary of State A True Copy When Attested By Signature ______________________________________ (Name of Corporation) _____________________ Deputy Secretary of State Pursuant to 13-B MRSA §1101, the undersigned corporation executes and delivers for filing the following statement of intent to dissolve the corporation. FIRST: Title President Treasurer Secretary Clerk Directors: The names and respective addresses of its officers and directors are: Name __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ Address ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ (List additional directors on reverse side) SECOND: ("X" one box only) Exhibit A attached hereto is a copy of the resolution adopted by: The members of the corporation entitled to vote. The directors of the corporation, there being no members or no members entitled to vote. FORM NO. MNPCA-11A (1 of 2) American LegalNet, Inc. www.FormsWorkFlow.com THIRD: Number of Members/Directors and Entitled to Vote NUMBER Voted For NUMBER Voted Against Totals FOURTH: FIFTH: All required Reports have been filed with the Secretary of State. (Note: If the dissolution process is completed on or before June 1st, then the Report covering the previous calendar year is not required.) The undersigned corporation understands that the filing of this document does not complete the dissolution process. You must also file Articles of Dissolution, Form MNPCA-11D or 11E. The address of the registered office of the corporation in the State of Maine is ________________________________ _______________________________________________________________________________________________ (street, city, state and zip code) SIXTH: DATED _________________________ *By __________________________________________________ (signature) _________________________________________________ MUST BE COMPLETED FOR VOTE OF MEMBERS I certify that I have custody of the minutes showing the above action by the members. ____________________________________________ (signature of clerk, secretary or asst. secretary) (type or print name and capacity) *By __________________________________________________ (signature) _________________________________________________ (type or print name and capacity) Notice of the filing of this statement shall be mailed to each known creditor of the corporation pursuant to 13-B MRSA §1101.2. *This document MUST be signed by any authorized officer. (13-B MRSA §104.1.B) SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE, 101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101 FORM NO. MNPCA-11A (2 of 2) Rev. 9/16/2005 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