Sfn 58782 - Nonprofit Corporation Intent To Dissolve Form Page 2

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SFN 58782 (08-2008) Page 2

INSTRUCTIONS FOR NONPROFIT CORPORATION INTENT TO DISSOLVE

According to N.D.C.C., Section 10-33-99, a nonprofit corporation must file an intent to dissolve with the Secretary of State when the corporation is being

dissolved by the board and the members with voting rights.

The filing of the Intent to Dissolve is not the dissolution of the corporation. Articles of Dissolution must be filed to finally dissolve the corporation. Contact

the Secretary of State for the form.

The following numbers correspond to the numbered sections on the front of this form.

FILING FEE: The filing fee is $10.00. (Checks must be payable to "Secretary of State" and must be for U.S. negotiable funds. Payments may also be

made by credit card using Visa, Master Card or Discover.)

Provide the corporation name exactly as currently provided in the Articles of Incorporation filed with the Secretary of State. Pay attention to punctuation

and abbreviations. If the name in number 2 is not the same as registered, the name will be corrected when received by the Secretary of State.

To properly maintain corporate records, the Federal ID number is required if the corporation has one.

Privacy: In compliance with N.D.C.C., Section 10-33-142.1, social security or Federal ID numbers are not disclosed to the public. They are used by the

Secretary of State to maintain accurate corporate records. Therefore, while voluntary disclosure is requested, failure to do so will not result in rejection

of the document.

Provide the date on which the board held the meeting at which a resolution was adopted to dissolve the corporation.

4A.

Provide the complete address of the place where the board held the meeting at which a resolution was adopted to dissolve the corporation.

4B.

Check the box if the corporation has no voting members and members did not adopt a resolution to dissolve.

5A.

If there are voting members, provide the date on which the voting members held the meeting at which a resolution was adopted to dissolve the

5B.

corporation.

If there are voting members, provide the complete address of the place where the voting members held the meeting at which a resolution was adopted

5C.

to dissolve the corporation.

This document must be signed and dated by an individual authorized by the corporation.

List the name and daytime telephone number of a person to contact if this office has any questions or needs additional information to file the Intent to

Dissolve.

ANNUAL REPORTS: The filing of the Intent to Dissolve is not the dissolution of the corporation. If the Articles of Dissolution are not filed by the time

the next annual report is due, the corporation must file the annual report to avoid involuntary dissolution for failure to report.

ASSISTANCE: If assistance is required to complete the Intent to Dissolve, contact the Secretary of State's Office.

FAX FILING: The document and Credit Card Payment Authorization may be faxed to 701-328-2992. A faxed filing does not expedite the process of the

document in the office of the Secretary of State.

Email: Email is not a secure utility for the transmission of private information or credit card authorizations. DO NOT EMAIL YOUR DOCUMENT TO THE

SECRETARY OF STATE.

MAILING INSTRUCTIONS: Send Intent to Dissolve and fee to:

Secretary of State

State of North Dakota

600 E Boulevard Ave Dept 108

Bismarck ND 58505-0500

Telephone: 701-328-4284