Sfn 58764 - Articles Of Dissolution And Termination By Members Form

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COMPLETE, PRINT, SIGN, AND FAX OR MAIL

(If paying with credit card complete authorization at bottom of page 3)

FOR OFFICE USE ONLY

BUSINESS/PROFESSIONAL/FARM

ID#:

LIMITED LIABILITY COMPANY

WO#:

ARTICLES OF DISSOLUTION AND TERMINATION

BY MEMBERS

Filed:

By:

SECRETARY OF STATE

SFN 58764 (03-2008)

1. FILING FEE $20.00

For reference, see N.D.C.C., Sections 10-32-111 through 10-32-117

TYPE OR PRINT LEGIBLY

SEE REVERSE SIDE FOR FEES, FILING AND MAILING INSTRUCTIONS.

2. The name of the limited liability company

3. Federal ID Number:

4. The dissolution shall be effective

When Articles of Dissolution and Termination are filed with the Secretary of State.

Later on _____________________________________________.

(month, day, year)

5. The undersigned states

"The limited liability company: (check the appropriate box)

Did not give notice to creditors and claimants. The Notice to Dissolve was filed with the Secretary of State.

Payment of claims of all known creditors and claimants has been made or adequate provision has been made

for payment or discharge, OR

Two years have elapsed since filing the Notice to Dissolve with the Secretary of State.

Any remaining property, assets, and claims of the limited liability company have been distributed in accordance with

North Dakota law, or adequate provisions have been made for that distribution.

There are no pending legal, administrative, or arbitration proceedings by or against the limited liability company, or

adequate provision has been made for the satisfaction of any judgment, order or decree that may be entered against it

in a pending proceeding.

Gave notice to creditors and claimants on ___________________________. Payment of claims filed by creditors and

(month, day, year)

claimants has been made or provided for and the longest of the periods defined in N.D.C.C., Section 10-32-114,

Subsection 3b and as herein provided, have elapsed:

60 days have elapsed since a claim was rejected and the claimant has not pursued other remedies;

180 days have elapsed since the limited liability company filed the Notice to Dissolve with the Secretary of State; OR

90 days have elapsed since notice was given to creditors and claimants.

Any remaining property, assets, and claims of the limited liability company have been distributed in accordance with North

Dakota law, or adequate provisions have been made for that distribution.

There are no pending legal, administrative, or arbitration proceedings by or against the limited liability company, or

adequate provision has been made for the satisfaction of any judgment, order or decree that may be entered against it in

a pending proceeding."

6. "The undersigned, a person authorized by the limited liability company to sign the Articles of Dissolution and Termination, has read the foregoing articles,

knows the contents thereof, and believes the statements made thereon to be true. I further authorize the Secretary of State to correct number 2 if not

correctly reflected."

__________________________________________________________

(Signature)

(Date)

7. Name of person to contact if questions about this document

E-mail address

Daytime telephone number