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Maine Corporation Commercial Clerk Change Form

For changing a commercial clerk that acts on behalf of a specific entity, the Maine Corporation Commercial Clerk Change Form has to be completed and submitted.

 

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_____________________ 
Deputy Secretary of State 	
 
 	
A True Copy When Attested By Signature 	
 
 	
_____________________ 
Deputy Secretary of State 	
                       Filing Fee $35.00  	
 	
DOMESTIC 	 
 	BUSINESS CORPORATION  	
 	
STATE OF MAINE 	
 	
COMMERCIAL CLERK 	
 	
STATEMENT OF 	
APPOINTMENT or CHANGE 	
 
 
 	
______________________________________ 
(Name of Corporation as it appears on th e records of the Secretary of State) 	
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 	
Pursuant to 	5 MRSA §§105	 & 	108 	 the undersigned corporation executes and delivers the following statement of appointment or change 
of a commercial clerk. 	
 
FIRST:   The name and address of the current clerk appearing  on the record in the Secretary of State's office: 	
  
 _______________________________________________________________________\
________ 	
      (name of current clerk) 
 	
 _______________________________________________________________________\
________ 	
                    (physical st reet address, city, state and zip code)  
 
SECOND:  The new CRA Public number is: __________________________ 
 
  The name of  the new CRA is: _______________________________________________________ 
     
THIRD:  Pursuant to 	5 MRSA §108.3	, the clerk as listed above has consented to serve as the clerk for this corporation.  	
 
FOURTH:  Upon a change in commercial clerk, one of the following must be completed:  ("X" one  box only.) 
 
  	  The change of commercial clerk was duly authorized by the board of directors of the corporation and that the 
power to appoint the commercial clerk is not reserved to the shareholders by the articles or the bylaws. 	
 
  	  The change of commercial clerk was duly authorized by the shareholders of the corporation. 	
 
 
DATED  _________________________   *By ______________________________________________ 
                 (signature) 
 
        _______________________________________________ 
                                    (type or print name and capacity) 
 
*This statement  MUST be signed by any duly authorized officer. 
 
Please remit your payment made payabl e to the Maine Secretary of State. 
 
Submit completed form to:    Secretary of State 
    Division of Corp orations, UCC and Commissions 
        101 State House Station, Augusta, ME  04333-0101 	
     Telephone Inquiries:   (207) 624-7752 Email Inquiries:  	[email protected]	
 
Form No. MBCA-3-CRA   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 se rvice ($50 additional filing fee per entity, per service) 
  Expedited filing - Immediate service ($100 a dditional 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 St ate’s office) 	
 
___________________________________   ___________________________________ 	
(Name of contact person) 	    	(Daytime telephone number) 	
 	
 	
____________________________________________________ 	
(Email address) 	
 
The enclosed filing(s) and fee(s) are submitted for f iling. 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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