Voluntary Dissolution By Incorporators {MNPCA-11E}

Filing Fee $10.00 DOMESTIC NONPROFIT CORPORATION STATE OF MAINE VOLUNTARY DISSOLUTION BY INCORPORATORS _____________________ Deputy Secretary of State A True Copy When Attested By Signature _____________________ Deputy Secretary of State ______________________________________ (Name of Corporation) Pursuant to 13-B MRSA §1101-A, the undersigned corporation adopts the following Voluntary Dissolution by Incorporators for the purpose of dissolving the corporation. FIRST: The filing date of its articles of incorporation was _______________________. SECOND: The corporation has not carried on activities. THIRD: No debts of the corporation remain unpaid. FOURTH: A majority of the incorporators consent to the dissolution of the corporation. FIFTH: All required Annual Reports have been filed with the Secretary of State. (Note: If the dissolution process is completed on or before June 1st, then the Annual Report covering the previous calendar year is not required.) SIXTH: The address of the registered office of the corporation in the State of Maine is _______________________________ _______________________________________________________________________________________________ (street, city, state and zip code) FORM NO. MNPCA-11E American LegalNet, Inc. www.FormsWorkFlow.com DATED _________________________ *By __________________________________________________ (incorporator) __________________________________________________ (type or print name and capacity) *By __________________________________________________ (incorporator) __________________________________________________ (type or print name and capacity) *By __________________________________________________ (incorporator) __________________________________________________ (type or print name and capacity) *This document MUST be signed by a majority of the incorporators. Please remit your payment made payable to the Secretary of State. SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE, 101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101 FORM NO. MNPCA-11E (2 of 2) Rev. 8/1/2004 TEL. (207) 624-7752 American LegalNet, Inc. www.FormsWorkFlow.com Filer Contact Cover Letter To: Department of the Secretary of State Division of Corporations, UCC and Commissions 101 State House Station Augusta, ME 04333-0101 Tel. (207) 624-7752 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) American LegalNet, Inc. www.FormsWorkFlow.com