Form MNPCA-12A "Amended Application for Authority to Carry on Activities" - Maine

What Is Form MNPCA-12A?

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 MNPCA-12A 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 MNPCA-12A "Amended Application for Authority to Carry on Activities" - Maine

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Filing Fee $15.00
FOREIGN
NONPROFIT CORPORATION
STATE OF MAINE
AMENDED APPLICATION FOR
_____________________
AUTHORITY TO CARRY ON ACTIVITIES
Deputy Secretary of State
A True Copy When Attested By Signature
______________________________________
(Name of Corporation)
_____________________
Deputy Secretary of State
Pursuant to
13-B MRSA
§1207, the undersigned foreign corporation executes and delivers the following Amended Application for
Authority to Carry on Activities:
FIRST:
The jurisdiction of its incorporation is ______________________________________________________________.
SECOND:
The date on which it was authorized to carry on activities in the State of Maine is __________________________.
THIRD:
The proposed amendment to its application of authority is ______________________________________________
______________________________________________________________________________________________.
FOURTH:
The corporate name of the corporation has been changed to (If no change, so indicate.) ________________________
__________________________________________________________________ under the laws of its jurisdiction of
incorporation on ______________.
(date)
FIFTH:
If the real corporate name is not available, the fictitious name under which it proposes to apply for authority to carry
on activities in the State of Maine is (If not applicable, so indicate.)
______________________________________________________________________________________________.
Form
MNPCA-5
accompanies this application.
A fictitious name is a name adopted by a foreign corporation authorized to carry on activities in this State
because its real name is unavailable pursuant to
13-B MRSA
§301-A.
SIXTH:
The activity (activities) which it seeks to pursue in the State of Maine is (are) authorized by the laws of its jurisdiction
of incorporation and consist(s) of (If no change, so indicate.) _____________________________________________
_______________________________________________________________________________________________
______________________________________________________________________________________________.
FORM NO. MNPCA-12A (1 of 2)
Filing Fee $15.00
FOREIGN
NONPROFIT CORPORATION
STATE OF MAINE
AMENDED APPLICATION FOR
_____________________
AUTHORITY TO CARRY ON ACTIVITIES
Deputy Secretary of State
A True Copy When Attested By Signature
______________________________________
(Name of Corporation)
_____________________
Deputy Secretary of State
Pursuant to
13-B MRSA
§1207, the undersigned foreign corporation executes and delivers the following Amended Application for
Authority to Carry on Activities:
FIRST:
The jurisdiction of its incorporation is ______________________________________________________________.
SECOND:
The date on which it was authorized to carry on activities in the State of Maine is __________________________.
THIRD:
The proposed amendment to its application of authority is ______________________________________________
______________________________________________________________________________________________.
FOURTH:
The corporate name of the corporation has been changed to (If no change, so indicate.) ________________________
__________________________________________________________________ under the laws of its jurisdiction of
incorporation on ______________.
(date)
FIFTH:
If the real corporate name is not available, the fictitious name under which it proposes to apply for authority to carry
on activities in the State of Maine is (If not applicable, so indicate.)
______________________________________________________________________________________________.
Form
MNPCA-5
accompanies this application.
A fictitious name is a name adopted by a foreign corporation authorized to carry on activities in this State
because its real name is unavailable pursuant to
13-B MRSA
§301-A.
SIXTH:
The activity (activities) which it seeks to pursue in the State of Maine is (are) authorized by the laws of its jurisdiction
of incorporation and consist(s) of (If no change, so indicate.) _____________________________________________
_______________________________________________________________________________________________
______________________________________________________________________________________________.
FORM NO. MNPCA-12A (1 of 2)
SEVENTH:
The new address of its registered or principal office, wherever located, is (If no change, so indicate.)
______________________________________________________________________________________________.
(street, city, state and zip code)
EIGHTH:
The address of the registered office of the corporation in the State of Maine is _______________________________
______________________________________________________________________________________________.
(street, city, state and zip code)
DATED _________________________
*By ___________________________________________________
(signature of any duly authorized individual)
___________________________________________________
(type or print name and capacity)
*This document MUST be signed by any duly authorized individual.
Please remit your payment made payable to the Maine Secretary of State.
SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE,
101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101
FORM NO. MNPCA-12A (2 of 2) Rev. 4/1/2009
TEL. (207) 624-7740
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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