Certificate Of Organization {MNP-981-A}

Filing Fee $5.00 DOMESTIC NONPROFIT CORPORATION STATE OF MAINE CERTIFICATE OF ORGANIZATION _____________________ Deputy Secretary of State A True Copy When Attested By Signature _____________________ Deputy Secretary of State Pursuant to 13 MRSA §981-A, the undersigned officers execute and deliver for filing the following Certificate of Organization: FIRST: The undersigned, officers of a corporation duly organized at ______________________________________________ in the town of _______________________________, State of Maine, on the _________________________ day of ______________________________, ________, hereby certify as follows: SECOND: The name of said corporation is now _________________________________________________________________. THIRD: If the name of the corporation since its organization has been changed, please list such changes in chronological order: New Name 1. 2. 3. 4. 5. ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ Date of Change ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ FOURTH: The name of the corporation was originally ___________________________________________________________ ______________________________________________________________________________________________ FORM NO. MNP-981-A (1 of 3) American LegalNet, Inc. www.FormsWorkFlow.com FIFTH: The original purposes of the corporation at the time of incorporation were: SIXTH: ("X" one box only. Attach additional page(s) if necessary.) The corporation is organized as a public benefit corporation for the following purpose or purposes: The corporation is organized as a mutual benefit corporation for all purposes permitted under 13-B MRSA, or, if not for all such purposes, then for the following purpose or purposes: SEVENTH: ("X" one box only.) The persons vested with the management of the affairs of the corporation are designated to be: Directors (including trustees, governors, managers, etc.), or if no Directors, Members. EIGHTH: Said corporation is now located at _______________________________________________________, in the town of __________________________________, County of ______________________________________ State of Maine. FORM NO. MNP-981-A (2 of 3) American LegalNet, Inc. www.FormsWorkFlow.com NINTH: The number of officers is __________ and their names are as follows: President Vice-President Secretary or Clerk Treasurer _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ Name and signature of Officers Dated _______________________ ___________________________________________________ (President) ___________________________________________________ (type or print name) ___________________________________________________ (Secretary/Clerk) ___________________________________________________ (type or print name) 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 American LegalNet, Inc. FORM NO. MNP-981-A (3 of 3) Rev. 7/30/2004 TEL. (207) 624-7752 www.FormsWorkFlow.com