Certificate Of Withdrawal - The Commonwealth Of Massachusetts printable pdf download

Certificate Of Withdrawal - The Commonwealth Of Massachusetts

MSC.4

FEDERAL IDENTIFICATION

NO. _____________________

Fee: $100.00

The Commonwealth of Massachusetts

Examiner

William Francis Galvin

Secretary of the Commonwealth

One Ashburton Place, Boston, Massachusetts 02108-1512

CERTIFICATE OF WITHDRAWAL

(General Laws, Chapter 181, Section 16)

We, ___________________________________________________________________ , *President / *Vice President,

and ___________________________________________ , *Clerk / *Assistant Clerk or *Secretary / *Asst. Secretary,

of ______________________________________________________________________________________________ ,

(Exact name of corporation)

located at _______________________________________________________________________________________ ,

(Street address of corporation)

in compliance with the provisions of General Laws, Chapter 181, Section 16, certify as follows:

1. The corporation was organized under the laws of the state of:

2. The date of organization of the corporation is:

3. The date on which the corporation’s fiscal year ends is:

4. The name and residential address of each director and officer of the corporation is as follows:

NAME

RESIDENTIAL ADDRESS

President:

Treasurer:

Clerk or Secretary:

Directors:

P.C.

*Delete the inapplicable words.

181cwith 4/5/00

Certificate Of Withdrawal - The Commonwealth Of Massachusetts