Free MNP-6 - Maine

Filing Fee $5.00

DOMESTIC NONPROFIT CORPORATION

STATE OF MAINE

CERTIFICATE OF ORGANIZATION

_____________________ Deputy Secretary of State

A True Copy When Attested By Signature

_____________________ Deputy Secretary of State

Pursuant to 13 MRSA §903, the undersigned incorporator(s) execute(s) and deliver(s) for filing the following Certificate of Organization: FIRST: SECOND: The name of the corporation is _____________________________________________________________________. ("X" one box only. Attach additional page(s) if necessary.) The corporation is organized as a public benefit corporation for the following purpose or purposes:

The corporation is organized as a mutual benefit corporation for the following purpose or purposes:

THIRD:

It is located in ____________________________________________________________________________, Maine.
(municipality) (county)

FOURTH:

The number of officers is __________ and their names are as follows: President ______________________________________________________________________________________ Vice-President __________________________________________________________________________________ Secretary or Clerk _______________________________________________________________________________ Address ________________________________________________________________________________ Treasurer ______________________________________________________________________________________

FIFTH:

The Directors or Trustees are: ______________________________________________________________________ _______________________________________________________________________________________________ ______________________________________________________________________________________________.

FORM NO. MNP-6 (1 of 2)

Name and signature of Incorporators
Dated ____________________________________________

Addresses

___________________________________________________
(signature)

Street ______________________________________________ ___________________________________________________
(city, state and zip code)

___________________________________________________
(type or print name)

___________________________________________________
(signature)

Street ______________________________________________ ___________________________________________________
(city, state and zip code)

___________________________________________________
(type or print name)

___________________________________________________
(signature)

Street ______________________________________________ ___________________________________________________
(city, state and zip code)

___________________________________________________
(type or print name)

___________________________________________________
(signature)

Street ______________________________________________ ___________________________________________________
(city, state and zip code)

___________________________________________________
(type or print name)

___________________________________________________
(signature)

Street ______________________________________________ ___________________________________________________
(city, state and zip code)

___________________________________________________
(type or print name)

___________________________________________________
(signature)

Street ______________________________________________ ___________________________________________________
(city, state and zip code)

___________________________________________________
(type or print name)

___________________________________________________
(signature)

Street ______________________________________________ ___________________________________________________
(city, state and zip code)

___________________________________________________
(type or print name)

___________________________________________________
(signature)

Street ______________________________________________ ___________________________________________________
(city, state and zip code)

___________________________________________________
(type or print name)

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-6 (2 of 2) Rev. 4/18/2006 TEL. (207) 624-7752