Filing Fee $20.00 per month. Renewal Fee $200.00.
FOREIGN BUSINESS CORPORATION STATE OF MAINE
APPLICATION FOR REGISTRATION OF NAME
_____________________ Deputy Secretary of State
A True Copy When Attested By Signature
______________________________________
(Name of Foreign Corporation)
_____________________ Deputy Secretary of State
Pursuant to 13-C MRSA §403, the undersigned foreign corporation executes and delivers the following Application for Registration of Name: FIRST: ("X" one box only.) This application is for a new OR renewal of a registration of corporate name. A new application expires at the end of the calendar year in which the application is filed. A renewal application can be filed between October 1st and December 31st. The renewal application, when filed, renews the registration of corporate name for the following calendar year. The state or country under the laws of which it is incorporated is __________________________________________ and the address of its principal office is located at: _______________________________________________________________________________________________ ______________________________________________________________________________________________.
(street, city, state and zip code)
SECOND:
THIRD: FOURTH:
The date of its incorporation is _____________________________________________________________________. A brief statement of the nature of the corporation's business: ______________________________________________________________________________________________.
FIFTH:
This application is accompanied by a certificate of existence or a document of similar import duly authenticated by the Secretary of State or other official having custody of corporate records in the state or country under whose law the foreign corporation is incorporated. The certificate of existence must have been made not more than 90 days prior to the delivery of this application for filing. *By ____________________________________________________
(signature of any duly authorized officer)
DATED _________________________
____________________________________________________
(type or print name and capacity)
The filing of this application does not authorize a corporation to do business in Maine.
*This document MUST be signed by any duly authorized officer. (§121.5) 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-2 7/1/2003 TEL. (207) 624-7752