Filing Fee $5.00 DOMESTIC NONPROFIT CORPORATION STATE OF MAINE STATEMENT OF REVOCATION OF VOLUNTARY DISSOLUTION PROCEEDINGS (Vote of Members or Directors) _____________________ Deputy Secretary of State A True Copy When Attested By Signature ______________________________________ (Name of Corporation) _____________________ Deputy Secretary of State Pursuant to 13-B MRSA §1102, the undersigned corporation executes and delivers for filing the following statement of revocation of voluntary dissolution proceedings previously authorized: FIRST: Title President Treasurer Secretary Clerk Directors: The names and respective addresses of its officers and directors are: Name __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ SECOND: Address _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ (List additional directors on reverse side) ("X" one box only) Exhibit A attached hereto is a copy of the resolution adopted by: The members of the corporation entitled to vote. The directors of the corporation, there being no members or no members entitled to vote. THIRD: The address of the registered office of the corporation in the State of Maine is ________________________________ _______________________________________________________________________________________________ (street, city, state and zip code) American LegalNet, Inc. www.FormsWorkFlow.com DATED _________________________ *By __________________________________________________ (signature) __________________________________________________ MUST BE COMPLETED FOR VOTE OF MEMBERS I certify that I have custody of the minutes showing the above action by the members. _____________________________________________ (signature of clerk, secretary or asst. secretary) (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 FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE, 101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101 FORM NO. MNPCA-11C Rev. 9/16/2005 TEL. (207) 624-7752 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