$5.00 Filing Fee
DOMESTIC NONPROFIT CORPORATION INDEPENDENT LOCAL CHURCH 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 §3021, the undersigned corporation executes and delivers for filing the following Certificate of Organization: FIRST: SECOND: THIRD: The name of the church is __________________________________________________________________________ The corporation is an independent local church located in _________________________________________, Maine. The number of trustees is __________ and their names are _______________________________________________
_______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________
Name and signature of the Officers and Trustees
Dated __________________________________ ___________________________________________________
(Clerk)
Address
Street ______________________________________________ ___________________________________________________
(city, state and zip code)
___________________________________________________
(type or print name)
___________________________________________________
(Treasurer)
Street ______________________________________________ ___________________________________________________
(city, state and zip code)
___________________________________________________
(type or print name)
FORM NO. MLC-6 (1of 2)
Name and Signature of Officers and Trustees (cont.)
___________________________________________________
(Trustee)
Address
Street ______________________________________________ ___________________________________________________
(city, state and zip code)
___________________________________________________
(type or print name)
___________________________________________________
(Trustee)
Street ______________________________________________ ___________________________________________________
(city, state and zip code)
___________________________________________________
(type or print name)
___________________________________________________
(Trustee)
Street ______________________________________________ ___________________________________________________
(city, state and zip code)
___________________________________________________
(type or print name)
___________________________________________________
(Trustee)
Street ______________________________________________ ___________________________________________________
(city, state and zip code)
___________________________________________________
(type or print name)
___________________________________________________
(Trustee)
Street ______________________________________________ ___________________________________________________
(city, state and zip code)
___________________________________________________
(type or print name)
Please remit your payment made payable to the Secretary of State. SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE, 101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101 FORM NO. MLC-6 (2 of 2) Rev. 7/30/2004 TEL. (207) 624-7752