Form MNPCA-3-NCRA "Statement of Appointment or Change of Noncommercial Registered Agent" - Maine

What Is Form MNPCA-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 July 1, 2008;
  • 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;

Download a fillable version of Form MNPCA-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 MNPCA-3-NCRA "Statement of Appointment or Change of Noncommercial Registered Agent" - Maine

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Filing Fee $15.00 for each nonprofit corporation listed
NONPROFIT CORPORATION
STATE OF MAINE
NONCOMMERCIAL REGISTERED AGENT
STATEMENT OF
_____________________
APPOINTMENT or CHANGE
Deputy Secretary of State
A True Copy When Attested By Signature
______________________________________
_____________________
(Name of Corporation as it appears on the records of the Secretary of State)
Deputy 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 registered agent.
FIRST:
("X" all boxes that apply)
A.
change of address
B.
change to/of noncommercial registered agent and address
C.
change of noncommercial registered agent
D.
change in name of current noncommercial registered agent
SECOND:
The name and address of the registered agent appearing on the record in the Secretary of State's office:
_______________________________________________________________________________________________
(name of current registered agent)
_______________________________________________________________________________________________
(physical street address, city, state and zip code)
_______________________________________________________________________________________________
(mailing address if different from above)
THIRD:
(For foreign nonprofit corporations only)
Jurisdiction of Organization:
________________________________________________________________
Date authorized to transact business in the State of Maine:
__________________________________________
Form No. MNPCA-3-NCRA (1 of 2)
Filing Fee $15.00 for each nonprofit corporation listed
NONPROFIT CORPORATION
STATE OF MAINE
NONCOMMERCIAL REGISTERED AGENT
STATEMENT OF
_____________________
APPOINTMENT or CHANGE
Deputy Secretary of State
A True Copy When Attested By Signature
______________________________________
_____________________
(Name of Corporation as it appears on the records of the Secretary of State)
Deputy 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 registered agent.
FIRST:
("X" all boxes that apply)
A.
change of address
B.
change to/of noncommercial registered agent and address
C.
change of noncommercial registered agent
D.
change in name of current noncommercial registered agent
SECOND:
The name and address of the registered agent appearing on the record in the Secretary of State's office:
_______________________________________________________________________________________________
(name of current registered agent)
_______________________________________________________________________________________________
(physical street address, city, state and zip code)
_______________________________________________________________________________________________
(mailing address if different from above)
THIRD:
(For foreign nonprofit corporations only)
Jurisdiction of Organization:
________________________________________________________________
Date authorized to transact business in the State of Maine:
__________________________________________
Form No. MNPCA-3-NCRA (1 of 2)
FOURTH:
Complete this Item as follows based on your selection in Item First:
A.
The new address of the noncommercial registered agent (provide address information only);
B.
The name and address of the new noncommercial registered agent (provide name and address information);
C.
The name of the new noncommercial registered agent (provide name only); OR
D.
The new name of the current noncommercial registered agent (provide name only).
_______________________________________________________________________________________________
(name of new noncommercial registered agent or new name of current noncommercial registered agent)
_______________________________________________________________________________________________
(physical street address, not a P.O. Box – city, state and zip code)
_______________________________________________________________________________________________
(mailing address if different from above)
FIFTH:
Pursuant to
5 MRSA
§108.3, the registered agent as listed above has consented to serve as the registered agent for this
nonprofit corporation.
SIXTH:
The undersigned noncommercial registered agent of the following corporation(s) has notified each corporation of the
change indicated in Item First A or D:
Name of Nonprofit Corporation
Jurisdiction
Date incorporated or authorized in Maine
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
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 registered agent 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. MNPCA-3-NCRA (2 of 2) 7/1/2008
Filer Contact Cover Letter
To:
Department of the Secretary of State
Tel. (207) 624-7752
Division of Corporations, UCC and Commissions
101 State House Station
Augusta, ME 04333-0101
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)
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