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Statement Of Appointment Or Change Of Noncommercial Clerk (Domestic Business Corporation) Form. This is a Maine form and can be use in Business Corporation Secretary Of State.
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Tags: Statement Of Appointment Or Change Of Noncommercial Clerk (Domestic Business Corporation), MBCA-3-NCRA, Maine Secretary Of State, Business Corporation
Filing Fee $35.00 for each corporation listed
DOMESTIC
BUSINESS CORPORATION
STATE OF MAINE
NONCOMMERCIAL CLERK
_____________________
Deputy Secretary of State
STATEMENT OF
APPOINTMENT or CHANGE
A True Copy When Attested By Signature
_____________________
Deputy Secretary of State
______________________________________
(Name of Corporation as it appears on the records of the Secretary of State)
Pursuant to 5 MRSA §§105, 108, & 109 the undersigned corporation executes and delivers the following statement of appointment
and/or change of address by a noncommercial Clerk.
("X" all boxes that apply)
FIRST:
A.
change of address
B.
change of noncommercial clerk and address
C.
change of noncommercial clerk
D.
change in name of current noncommercial clerk
SECOND:
The name and address of the clerk appearing on the record in the Secretary of State's office:
_______________________________________________________________________________________________
(name of current clerk)
_______________________________________________________________________________________________
(physical street address, city, state and zip code)
_______________________________________________________________________________________________
(mailing address if different from above)
THIRD:
Complete this Item as follows based on your selection in Item First:
A.
B.
C.
D.
The new address of the noncommercial clerk (provide address information only);
The name and address of the new noncommercial clerk, who must be a Maine resident (provide name and
address information);
The name of the new noncommercial clerk, who must be a Maine resident (provide name only); OR
The new name of the current noncommercial clerk (provide name only).
_______________________________________________________________________________________________
(name of new noncommercial clerk or new name of current noncommercial clerk)
_______________________________________________________________________________________________
(physical street address, not a P.O. Box – city, state and zip code)
_______________________________________________________________________________________________
(mailing address if different from above)
Form No. MBCA-3-NCRA (1 of 2)
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FOURTH:
Pursuant to 5 MRSA §108.3, the clerk as listed above has consented to serve as the clerk for this corporation.
FIFTH:
Upon a change in noncommercial clerk, one of the following must be completed: ("X" one box only.)
The change of noncommercial clerk was duly authorized by the board of directors of the corporation and that
the power to appoint the noncommercial clerk is not reserved to the shareholders by the articles or the bylaws.
The change of noncommercial clerk was duly authorized by the shareholders of the corporation.
SIXTH:
The undersigned noncommercial clerk of the following corporation(s) has notified each corporation of the change
indicated in Item Third A or D:
Name of Corporation
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Names of additional corporations attached hereto as Exhibit ___, and made a part hereof.
DATED _________________________
*By ____________________________________________________
(signature)
____________________________________________________
(type or print name and capacity)
*This statement MUST be signed as follows:
(1) if Item First, A or D was selected, then by the noncommercial clerk OR
(2) if Item First, B or C was selected, then by any duly authorized officer
Please remit your payment made payable to the Maine Secretary of State.
Submit completed form to:
Secretary of State
Division of Corporations, UCC and Commissions
101 State House Station
Augusta, ME 04333-0101
Telephone Inquiries: (207) 624-7752
Email Inquiries: CEC.Corporations@Maine.gov
Form No. MBCA-3-NCRA (2 of 2) 7/1/2008
American LegalNet, Inc.
www.FormsWorkflow.com
Filer Contact Cover Letter
To:
Department of the Secretary of State
Division of Corporations, UCC and Commissions
101 State House Station
Augusta, ME 04333-0101
Tel. (207) 624-7752
Name of Entity (s):
_______________________________________________________________________
_______________________________________________________________________
List type of filing(s) enclosed (i.e. Articles of Incorporation, Articles of Merger, Articles of Amendment, Certificate
of Correction, etc.) Attach additional pages as needed.
________________________________________________________________________
________________________________________________________________________
Special handling request(s): (check all that apply)
Hold for pick up
Expedited filing - 24 hour service ($50 additional filing fee per entity, per service)
Expedited filing - Immediate service ($100 additional filing fee per entity, per service)
Total filing fee(s) enclosed: $ ________________
Contact Information – questions regarding the above filing(s), please call or email: (failure to provide a
contact name and telephone number or email address will result in the return of the erroneous filing (s) by the Secretary of State’s office)
___________________________________
___________________________________
(Name of contact person)
(Daytime telephone number)
____________________________________________________
(Email address)
The enclosed filing(s) and fee(s) are submitted for filing. Please return the attested copy to the following
address:
______________________________________________________________________________
(Name of attested recipient)
_____________________________________________________________________________________________
(Firm or Company)
_____________________________________________________________________________________________
(Mailing Address)
_____________________________________________________________________________________________
(City, State & Zip)
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