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SECOND: This statement takes effect upon filing, and the nonprofit conversion is considered abandoned and does not become effective. Statement Of Abandonment Of Nonprofit Conversion Form.This is a Maine form and can be use in Business Corporation Secretary Of State. Statement of Abandonment of an Assumed Name - Form for abandoning an assumed name certificate before the expiration of its term of registration. Rev. Submit the completed form in duplicate along with the filing fee. The statement shall take effect upon filing and the nonprofit conversion shall be deemed abandoned and shall not become effective. ___ Nonprofit Corporation. The concept of why nonprofits do not have owners, but rather stakeholders. Statement of Correction for a General Business or Nonprofit Corporation (Corp. Request tax statement from Dept.