Free MNP-981-A - 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 §981-A, the undersigned officers execute and deliver for filing the following Certificate of Organization:

FIRST:

The undersigned, officers of a corporation duly organized at ______________________________________________ in the town of _______________________________, State of Maine, on the _________________________ day of ______________________________, ________, hereby certify as follows:

SECOND:

The name of said corporation is now _________________________________________________________________.

THIRD:

If the name of the corporation since its organization has been changed, please list such changes in chronological order: New Name 1. 2. 3. 4. 5. ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ Date of Change ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________

FOURTH:

The name of the corporation was originally ___________________________________________________________ ______________________________________________________________________________________________

FORM NO. MNP-981-A (1 of 3)

FIFTH:

The original purposes of the corporation at the time of incorporation were:

SIXTH:

("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 all purposes permitted under 13-B MRSA, or, if not for all such purposes, then for the following purpose or purposes:

SEVENTH:

("X" one box only.) The persons vested with the management of the affairs of the corporation are designated to be: Directors (including trustees, governors, managers, etc.), or if no Directors, Members.

EIGHTH:

Said corporation is now located at _______________________________________________________, in the town of __________________________________, County of ______________________________________ State of Maine.

FORM NO. MNP-981-A (2 of 3)

NINTH:

The number of officers is __________ and their names are as follows: President Vice-President Secretary or Clerk Treasurer _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________

Name and signature of Officers
Dated _______________________ ___________________________________________________
(President)

___________________________________________________
(type or print name)

___________________________________________________
(Secretary/Clerk)

___________________________________________________
(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-981-A (3 of 3) Rev. 7/30/2004 TEL. (207) 624-7752