Form MBCA-3-NCRA "Statement of Appointment or Change of Noncommercial Clerk" - Maine

What Is Form MBCA-3-NCRA?

This is a legal form that was released by the Maine Department of the Secretary of State - a government authority operating within Maine. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 1, 2021;
  • The latest edition provided by the Maine Department of the Secretary of State;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form MBCA-3-NCRA by clicking the link below or browse more documents and templates provided by the Maine Department of the Secretary of State.

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Download Form MBCA-3-NCRA "Statement of Appointment or Change of Noncommercial Clerk" - Maine

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Filing Fee $35.00 for each corporation listed
DOMESTIC
BUSINESS CORPORATION
STATE OF MAINE
NONCOMMERCIAL CLERK
_____________________
STATEMENT OF
Deputy Secretary of State
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.
FIRST:
("X" all boxes that apply)
A.
change of address
B.
change to/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.
The new address of the noncommercial clerk (provide address information only);
B.
The name and address of the new noncommercial clerk, who must be a Maine resident (provide name and
address information);
C.
The name of the new noncommercial clerk, who must be a Maine resident (provide name only); OR
D.
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)
Filing Fee $35.00 for each corporation listed
DOMESTIC
BUSINESS CORPORATION
STATE OF MAINE
NONCOMMERCIAL CLERK
_____________________
STATEMENT OF
Deputy Secretary of State
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.
FIRST:
("X" all boxes that apply)
A.
change of address
B.
change to/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.
The new address of the noncommercial clerk (provide address information only);
B.
The name and address of the new noncommercial clerk, who must be a Maine resident (provide name and
address information);
C.
The name of the new noncommercial clerk, who must be a Maine resident (provide name only); OR
D.
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)
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 First 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
Customer Contact Cover Letter
Name of entity(s) on the submitted filings:
______________________________________________________________________________
_______________________________________________________________________________
Optional special handling request(s): (check only if applicable)
Hold attested copy for pick up (will be required to pick up at our office in Augusta, Maine)
24-hour expedited filing (next business day) service: $50 additional filing fee per entity
Immediate expedited filing (same business day): $100 additional filing fee per entity
NOTE: Only one expedite fee is required if filing multiple documents for the same entity/charter number at the same time.
Payment can be made by check or money order (payable to Maine Secretary of State) or by credit card. You may
obtain a credit card voucher at https://www.maine.gov/sos/cec/forms/credit.pdf.
Total fee(s) enclosed: $ ________________
_______________________________________
__________________________________________
(Name of contact person)
(Daytime telephone number)
_______________________________________
___________________________________________
(Contact email address for this filing)
(Email address to use for annual report reminders)
Name and address of person to return the attested copy of the completed filing:
_____________________________________________________________________________________
(Name of attested copy recipient)
____________________________________________________________________________________
(Firm or Company)
_____________________________________________________________________________________
(Mailing Address)
_____________________________________________________________________________________
(City, State & Zip)
NOTE: Failure to provide a contact name and telephone number or email address will result in any erroneous
filing(s) being returned to the filer by the Secretary of State’s office.
For questions regarding the above filing(s), please call or email our office at (207) 624-7752 or
cec.corporations@maine.gov
Submit filings to:
Mailing Address if using US Postal Service
Mailing Address if using FedEx/UPS
Department of the Secretary of State
Department of the Secretary of State
Corporations, UCC and Commissions
Corporations, UCC and Commissions
th
101 State House Station
111 Sewall Street, 4
Floor
Augusta, ME 04333-0101
Augusta, ME 04330
Rev. 8/2021
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