"Articles of Charter Surrender Upon Conversion to a Foreign Other Entity" - Massachusetts

Articles of Charter Surrender Upon Conversion to a Foreign Other Entity is a legal document that was released by the Secretary of the Commonwealth of Massachusetts - a government authority operating within Massachusetts.

Form Details:

  • Released on July 19, 2005;
  • The latest edition currently provided by the Secretary of the Commonwealth of Massachusetts;
  • Ready to use and print;
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Download "Articles of Charter Surrender Upon Conversion to a Foreign Other Entity" - Massachusetts

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D
The Commonwealth of Massachusetts
PC
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Boston, Massachusetts 02108-1512
Articles of Charter Surrender
FORM MUST BE TYPED
FORM MUST BE TYPED
Upon Conversion to a Foreign Other Entity
(General Laws Chapter 156D, Section 9.54; 950 CMR 113.32)
(1) Exact name of corporation: ___________________________________________________________________________
(2) Registered offi ce address: _____________________________________________________________________________
(number, street, city or town, state, zip code)
(3) Th e articles of charter surrender are fi led in connection with a conversion to a foreign other entity.
(4) Th e conversion is permitted by the laws of the foreign jurisdiction.
(5) Type of entity: _____________________________________________________________________________________
(6) Name of new entity: ________________________________________________________________________________
New jurisdiction of incorporation: ______________________________________________________________________
(7) Th e corporation hereby appoints the Secretary of the Commonwealth as its agent for service of process in any proceeding to
enforce the rights of shareholders who exercise appraisal rights in connection with the conversion.
(8) Th e conversion was duly approved by the shareholders, and where required, by each separate voting group as provided by
G.L. Chapter 156D and the articles of organization.
(9) Street address of its executive offi ce immediately after the conversion if the surviving entity will be a non-fi ling entity:
________________________________________________________________________________________________
(number, street, city or town, state, zip code)
(10) _ Th e charter surrender shall be eff ective at the time and on the date approved by the Division, unless a later eff ective date not
more than 90 days from the date and time of fi ling is specifi ed: _______________________________________________
Signed by: ___________________________________________________________________________________________ ,
(signature of authorized individual)
® Chairman of the board of directors,
® President,
® Other offi cer,
® Court-appointed fi duciary,
on this _________________________ day of_________________________________________
day of_________________________________________
day of
, _____________________ .
P.C.
c156ds954950c11332 07/19/05
D
The Commonwealth of Massachusetts
PC
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Boston, Massachusetts 02108-1512
Articles of Charter Surrender
FORM MUST BE TYPED
FORM MUST BE TYPED
Upon Conversion to a Foreign Other Entity
(General Laws Chapter 156D, Section 9.54; 950 CMR 113.32)
(1) Exact name of corporation: ___________________________________________________________________________
(2) Registered offi ce address: _____________________________________________________________________________
(number, street, city or town, state, zip code)
(3) Th e articles of charter surrender are fi led in connection with a conversion to a foreign other entity.
(4) Th e conversion is permitted by the laws of the foreign jurisdiction.
(5) Type of entity: _____________________________________________________________________________________
(6) Name of new entity: ________________________________________________________________________________
New jurisdiction of incorporation: ______________________________________________________________________
(7) Th e corporation hereby appoints the Secretary of the Commonwealth as its agent for service of process in any proceeding to
enforce the rights of shareholders who exercise appraisal rights in connection with the conversion.
(8) Th e conversion was duly approved by the shareholders, and where required, by each separate voting group as provided by
G.L. Chapter 156D and the articles of organization.
(9) Street address of its executive offi ce immediately after the conversion if the surviving entity will be a non-fi ling entity:
________________________________________________________________________________________________
(number, street, city or town, state, zip code)
(10) _ Th e charter surrender shall be eff ective at the time and on the date approved by the Division, unless a later eff ective date not
more than 90 days from the date and time of fi ling is specifi ed: _______________________________________________
Signed by: ___________________________________________________________________________________________ ,
(signature of authorized individual)
® Chairman of the board of directors,
® President,
® Other offi cer,
® Court-appointed fi duciary,
on this _________________________ day of_________________________________________
day of_________________________________________
day of
, _____________________ .
P.C.
c156ds954950c11332 07/19/05
COMMONWEALTH OF MASSACHUSETTS
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Boston, Massachusetts 02108-1512
Articles of Charter Surrender
Upon Conversion to a Foreign Other Entity
(General Laws Chapter 156D, Section 9.54; 950 CMR 113.32)
I hereby certify that upon examination of this certifi cate of charter surrender,it ap-
pears that the provisions of the General Laws relative thereto have been complied
with, and the fi ling fee in the amount of $______ having been paid, said certifi cate
is deemed to have been fi led with me this day of _________
day of _________
day of
20 at _____ a.m./p.m.
time
Eff ective date: _________________________________________________
(must be within 90 days of date submitted)
WILLIAM FRANCIS GALVIN
Secretary of the Commonwealth
Examiner
Filing fee: Minimum $250
#A.R.
TO BE FILLED IN BY CORPORATION
Contact Information:
___________________________________________________________
___________________________________________________________
___________________________________________________________
Telephone: ___________________________________________________
Email: ______________________________________________________
Upon fi ling, a copy of this fi ling will be available at www.sec.state.ma.us/cor.
If the document is rejected, a copy of the rejection sheet and rejected document will
be available in the rejected queue.
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