Fillable APPLICATION FOR AUTHORITY TO DO BUSINESS (How to Start a Business)

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APPLICATION FOR AUTHORITY TO DO BUSINESS (How to Start a Business)

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_____________________
Deputy Secretary of State
A True Copy When Attested By Signature
_____________________
Deputy Secretary of State
Filing Fee $250.00
FOREIGN
BUSINESS CORPORATION
STATE OF MAINE
APPLICATION FOR
AUTHORITY TO DO BUSINESS
(Check box only if applicable.)
This is a professional corporation pursuant to
13 MRSA Chapter 22-A.**
______________________________________
(Name of Corporation in Jurisdiction of Incorporation)
Pursuant to
13-C MRSA §1503, the undersigned corporation executes and delivers the following Application for Authority to do
Business:
FIRST: The name under which it proposes to apply for authority to do business in the State of Maine is
____________________________________________________________________________________________
SECOND: The Registered Agent is a: (select either a Commercial or Noncommercial Registered Agent)
Commercial Registered Agent CRA Public Number: __________________
__________________________________________________________________________________
(name of commercial registered agent)
Noncommercial Registered Agent
__________________________________________________________________________________
(name of noncommercial registered agent)
__________________________________________________________________________________
(physical location, not P.O. Box – street, city, state and zip code)
__________________________________________________________________________________
(mailing address if different from above)
THIRD: Pursuant to
5 MRSA §108.3, the registered agent as listed above has consented to serve as the registered
agent for this corporation.
FOURTH: (For professional corporations only)
All of the professional corporation’s shareholders, not less than a majority of its directors and all of its officers other
than its clerk, secretary and treasurer, if any, are licensed in one or more states to render a professional service
described in its articles of incorporation.
Form No. MBCA-12 (1 of 3)
FIFTH: If the real corporate name is not available, the fictitious name under which it proposes to apply for authority to do
business in the State of Maine: (If not applicable, so indicate.)
_______________________________________________________________________________________________
Form MBCA-5 accompanies this application.
A fictitious name is a name adopted by a foreign corporation authorized to transact business in this State because
its real name is unavailable pursuant to
§401.
SIXTH: Its jurisdiction of incorporation is _________________________________ (state or country) and the date of
incorporation is ______________________.
SEVENTH: Address of the principal office, wherever located, is:
_______________________________________________________________________________________________
(street, city, state and zip code)
_______________________________________________________________________________________________
(mailing address if different from above)
EIGHTH: The names and usual business addresses of its current directors and officers: (Attach additional pages, if necessary.)
______________________________________________ Street ___________________________________________
(type or print name and capacity) (street or mailing address)
__________________________________________
(city, state and zip code)
______________________________________________ Street ___________________________________________
(type or print name and capacity) (street or mailing address)
__________________________________________
(city, state and zip code)
______________________________________________ Street ___________________________________________
(type or print name and capacity) (street or mailing address)
__________________________________________
(city, state and zip code)
______________________________________________ Street ___________________________________________
(type or print name and capacity) (street or mailing address)
__________________________________________
(city, state and zip code)
Form No. MBCA-12 (2 of 3)
NINTH: This application is accompanied by a certificate of existence or a document of similar import duly authenticated by the
Secretary of State or other official having custody of corporate records in the state or country under whose law the
foreign corporation is incorporated. The certificate of existence must have been made not more than 90 days prior to
the delivery of this application for filing.
Dated __________________________ *By ___________________________________________________
(signature of any duly authorized officer)
___________________________________________________
(type or print name and capacity)
**The professional corporation name as used in the State of Maine must contain one of the following: “chartered,” “professional
corporation,” “professional association” or “service corporation” or the abbreviation “P.C.,” “P.A.” or “S.C.”.
*This document MUST be signed by any duly authorized officer. (
13-C MRSA §121.5)
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. MBCA-12 (3 of 3) Rev. 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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APPLICATION FOR AUTHORITY TO DO BUSINESS (How to Start a Business)

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Completed 29 July 2020

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