_____________________
Deputy Secretary of State
A True Copy When Attested By Signature
_____________________
Deputy Secretary of State
Filing Fee $40.00
Pursuant to 13-B MRSA §403, the undersigned incorporator(s) execute(s) and deliver(s) the following Articles of Incorporation:
FIRST: The name of the corporation is _____________________________________________________________________.
SECOND: ("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 Title 13-B or, if
not for all such purposes, then for the following purpose or purposes:
THIRD: 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)
FOURTH: Pursuant to 5 MRSA §108.3, the new commercial registered agent as listed above has consented to serve as the
registered agent for this nonprofit corporation.
Form No. MNPCA-6 (1 of 3)
DOMESTIC
NONPROFIT CORPORATION
STATE OF MAINE
ARTICLES OF INCORPORATION
FIFTH: The number of directors (not less than 3) constituting the initial board of directors of the corporation, if the number has
been designated or if the initial directors have been chosen, is _________________________.
The minimum number of directors (not less than 3) shall be _________________________ and the maximum number
of directors shall be _________________________.
SIXTH: Members: ("X" one box only.)
There shall be no members.
There shall be one or more classes of members and the information required by 13-B MRSA §402 is attached.
SEVENTH: (Optional) (Check if this article is to apply.)
No substantial part of the activities of the Corporation shall be the carrying on of propaganda, or otherwise attempting to
influence legislation, and the Corporation shall not participate in or intervene in (including the publication or distribution
of statements) any political campaign on behalf of any candidate for public office.
EIGHTH: (Optional) (Check if this article is to apply.)
Other provisions of these articles including provisions for the regulation of the internal affairs of the corporation,
distribution of assets on dissolution or final liquidation and the requirements of the Internal Revenue Code section
501(c) are set out in Exhibit ______ attached hereto and made a part hereof.
Incorporators Dated ______________________________
___________________________________________________ Street ______________________________________________
(signature) (residence address)
___________________________________________________ ___________________________________________________
(type or print name) (city, state and zip code)
___________________________________________________ Street ______________________________________________
(signature) (residence address)
___________________________________________________ ___________________________________________________
(type or print name) (city, state and zip code)
___________________________________________________ Street ______________________________________________
(signature) (residence address)
___________________________________________________ ___________________________________________________
(type or print name) (city, state and zip code)
Form No. MNPCA-6 (2 of 3)
For Corporate Incorporators*
Name of Corporate Incorporator ___________________________________________________________________________________
By ________________________________________________ Street ______________________________________________
(signature of officer) (principal business location)
___________________________________________________ ___________________________________________________
(type or print name and capacity) (city, state and zip code)
Name of Corporate Incorporator ___________________________________________________________________________________
By ________________________________________________ Street ______________________________________________
(signature of officer) (principal business location)
___________________________________________________ ___________________________________________________
(type or print name and capacity) (city, state and zip code)
*Articles are to be executed as follows:
If a corporation is an incorporator (13-B MRSA §401), the name of the corporation should be typed or printed and signed on its behalf by
an officer of the corporation. The articles of incorporation must be accompanied by a certificate of an appropriate officer of the
corporation, not the person signing the articles, certifying that the person executing the articles on behalf of the corporation was duly
authorized to do so.
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. MNPCA-6 (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)