Filing Fee $10.00 NONPROFIT CORPORATION STATE OF MAINE CERTIFICATE OF CORRECTION _____________________ Deputy Secretary of State A True Copy When Attested By Signature ______________________________________ (Name of Corporation) _____________________ Deputy Secretary of State Pursuant to 13-B MRSA §106.4, the undersigned, a corporation (incorporated under the laws of the State of Maine), (incorporated under the laws of the State of _________________________, and authorized to carry on activities in Maine), executes and delivers for filing this Certificate of Correction: FIRST: On ___________ the Secretary of State filed a document delivered for filing by the undersigned corporation entitled: (date) ____________________________________________________________________________________________. (i.e. Articles of Incorporation, Articles of Amendment, etc.) SECOND: Said document is an inaccurate record of the corporate action therein referred to, or was defectively or erroneously executed, sealed or acknowledged. THIRD: The inaccuracy or defect to be corrected is described as follows: FOURTH: The portion of the said document to be corrected is corrected to read in its entirety as follows: FORM NO. MNPCA-17 (1 of 2) American LegalNet, Inc. www.FormsWorkFlow.com FIFTH: Said document as so corrected is effective as of the date of original filing set forth in Article FIRST, except as to those persons who are substantially and adversely affected by the correction, and as to those persons the corrected document shall be effective from the date this certificate of correction is filed by the Secretary of State. SIXTH: The address of the registered office of the corporation in the State of Maine is ______________________________ _______________________________________________________________________________________________ (street, city, state and zip code) DATED _________________________ *By ____________________________________________________ (signature) ____________________________________________________ (type or print name and capacity) *By ____________________________________________________ (signature) ____________________________________________________ (type or print name and capacity) *This document MUST be signed by any duly authorized officer. (13-B MRSA §104.1.B) 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. MNPCA-17 (2 of 2) Rev. 8/10/2009 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) American LegalNet, Inc. www.FormsWorkFlow.com