Form Sfn 58711 - Limited Liability Company Notice Of Dissolution - Secretary Of State, State Of North Dakota

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COMPLETE, PRINT, SIGN, AND FAX OR MAIL

(If paying with credit card complete authorization at bottom of page 2)

FOR OFFICE USE ONLY

BUSINESS/PROFESSIONAL/FARM

ID#:

LIMITED LIABILITY COMPANY

WO#:

NOTICE OF DISSOLUTION

SECRETARY OF STATE

Filed:

By:

SFN 58711 (12-2007)

1. FILING FEE $10.00

For reference, see N.D.C.C., Section 10-32-112

TYPE OR PRINT LEGIBLY

SEE REVERSE SIDE FOR FEES, FILING AND MAILING INSTRUCTIONS.

2. The name of the limited liability company:

3. Federal ID #:

4. The dissolution is occurring because: (check one)

The membership of a member terminated on ____________________ (month/day/year) and the articles of organization provide that the

termination causes dissolution.

The membership of the last sole member terminated on ____________________ (month/day/year) and the legal representative of that last or

sole member does not cause the limited liability company to admit at least one member.

The articles of organization provides an expiration date of the limited liability company to occur on ____________________.

(month/day/year)

A resolution to dissolve was adopted by the affirmative vote of a majority of the members entitled to vote, and:

a. Date when a majority of the members adopted a resolution to dissolve, ___________________ (month/day/year); and

b. Place where the members met and adopted the resolution:

_____________________________________________________________ (complete address)

5. "The undersigned, a person authorized by the limited liability company to sign this Notice of dissolution, has read the foregoing statements, knows the

contents thereof, and believes the statements made therein to be true."

Signature:

Date:

E-mail address:

Daytime telephone #:

6. Name of person to contact if questions about this form: