$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) American LegalNet, Inc. www.FormsWorkFlow.com 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 American LegalNet, Inc. www.FormsWorkFlow.com