"Certificate of Resignation of Director or Officer" - Massachusetts

Certificate of Resignation of Director or Officer 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 June 7, 2010;
  • The latest edition currently provided by the Secretary of the Commonwealth of Massachusetts;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Secretary of the Commonwealth of Massachusetts.

ADVERTISEMENT
ADVERTISEMENT

Download "Certificate of Resignation of Director or Officer" - Massachusetts

439 times
Rate (4.3 / 5) 22 votes
D
The Commonwealth of Massachusetts
PC
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Boston, Massachusetts 02108-1512
Certificate of Resignation
of Director or Officer
(General Laws Chapter 156D, Section 8.45; 950 CMR 113.17)
(1) Exact name of the corporation: _________________________________________________________________________
(2) Registered office address: _____________________________________________________________________________
(number, street, city or town, state, zip code)
I, _____________________________________________________________________________________ certify as follows:
(name of individual)
(3) The corporation has failed, or refused, to file a statement of change in officers and directors within 30 days following a change
in directors or officers.
(4) The change in the directors and/or officers is as follows:
It is further certified that a copy of this certificate has been delivered to the corporation or has been mailed to the principal office
of the corporation, postage prepaid.
SIGNED UNDER THE PENALTIES OF PERJURY,
____________________________________________________________________________________________________ ,
(check appropriate box)
Director involved in the change,
Officer involved in the change,
Personal representative of any deceased director or officer involved in the change,
on this ___________________________day of ___________________________________________, _________________ .
P.C.
c156ds845950c11317 06/07/10
D
The Commonwealth of Massachusetts
PC
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Boston, Massachusetts 02108-1512
Certificate of Resignation
of Director or Officer
(General Laws Chapter 156D, Section 8.45; 950 CMR 113.17)
(1) Exact name of the corporation: _________________________________________________________________________
(2) Registered office address: _____________________________________________________________________________
(number, street, city or town, state, zip code)
I, _____________________________________________________________________________________ certify as follows:
(name of individual)
(3) The corporation has failed, or refused, to file a statement of change in officers and directors within 30 days following a change
in directors or officers.
(4) The change in the directors and/or officers is as follows:
It is further certified that a copy of this certificate has been delivered to the corporation or has been mailed to the principal office
of the corporation, postage prepaid.
SIGNED UNDER THE PENALTIES OF PERJURY,
____________________________________________________________________________________________________ ,
(check appropriate box)
Director involved in the change,
Officer involved in the change,
Personal representative of any deceased director or officer involved in the change,
on this ___________________________day of ___________________________________________, _________________ .
P.C.
c156ds845950c11317 06/07/10
COMMONWEALTH OF MASSACHUSETTS
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Boston, Massachusetts 02108-1512
Certificate of Resignation of
Director or Officer
(General Laws Chapter 156D, Section 8.45; 950 CMR 113.17)
I hereby certify that upon examination of this certificate of change or resignation,
duly submitted to me, it appears that the provisions of the General Laws relative
thereto have been complied with, and I hereby approve said certificate; and the
filing fee in the amount of $
______ having been paid, said certificate is deemed to
have been filed with me this __________ day of _________ 20 at _____ a.m./p.m.
time
Effective date:
____________________________________________________
(must be within 90 days of date submitted)
WILLIAM FRANCIS GALVIN
Secretary of the Commonwealth
Filing fee: $25 for paper or fax filings.
TO BE FILLED IN BY CORPORATION
Contact Information:
___________________________________________________________
___________________________________________________________
___________________________________________________________
Telephone:
___________________________________________________
Email:
______________________________________________________
Upon filing, a copy of this filing 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.
Page of 2