Free MNPCA-11B - Maine

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DOMESTIC NONPROFIT CORPORATION STATE OF MAINE

STATEMENT OF REVOCATION OF VOLUNTARY DISSOLUTION PROCEEDINGS
(Written Consent 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 §1102, the undersigned corporation executes and delivers for filing the following statement of revocation of voluntary dissolution proceedings previously authorized: FIRST: Title President Treasurer Secretary Clerk Directors: The names and respective addresses of its officers and directors are: Name __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ SECOND: Address _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________

(List additional directors on reverse side)

("X" one box only) Exhibit A attached hereto is a copy of the written consent signed by: All members of the corporation entitled to vote. All directors of the corporation, there being no members or no members entitled to vote.

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)

_________________________________________________ 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)

*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-11B Rev. 9/16/2005 TEL. (207) 624-7752