Free MNP-3 - Maine

Filing Fee $5.00

DOMESTIC NONPROFIT CORPORATION

STATE OF MAINE

CHANGE OF CLERK/SECRETARY and/or ADDRESS

_____________________ Deputy Secretary of State

A True Copy When Attested By Signature

______________________________________
(Name of Corporation)

_____________________ Deputy Secretary of State

Pursuant to 13 MRSA §934 the undersigned corporation executes and delivers for filing the following Change of Clerk and/or Address: FIRST: A. C. ("X" all boxes that apply) change of address change of clerk B. D. change of clerk and address change in name of current clerk

SECOND:

The name and address of the clerk appearing on the record in the Secretary of State's office: _______________________________________________________________________________________________
(name of current clerk)

_______________________________________________________________________________________________
(street, city, state and zip code)

THIRD:

Complete this Item as follows based on your selection in Item First: A. B. C. D. The new address (provide address information only); The name and address of the new clerk (provide name and address information); The name of the new clerk (provide name only); OR The new name of the current clerk (provide name only).

_______________________________________________________________________________________________
(name of new clerk or new name of current clerk)

_______________________________________________________________________________________________
(physical location, not P.O. Box ­ street, city, state and zip code)

_______________________________________________________________________________________________
(mailing address if different from above)

FORM NO. MNP-3 (1 of 2)

DATED _________________________

*By ____________________________________________________
(signature)

____________________________________________________
(type or print name and capacity)

*By ____________________________________________________
(signature)

____________________________________________________
(type or print name and capacity)

(1) *This document MUST be signed by the clerk or secretary

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. MNP-3 (1 of 2) 4/18/2006 TEL. (207) 624-7752