Form 08-460 - Certificate Of Election (Page 2 of 4) in pdf

Form 08-460 - Certificate Of Election Page 2

The election to dissolve was approved by (check only ONE box):

4A. The corporation’s shareholders at a regular or special meeting (see item #4A of the instructions).

The number of shares voting for the election was

, which represent at least two-thirds of the

shareholders entitled to vote.

4B. The corporation’s shareholders by written consent (see item #4B of the instructions).

5A. The corporation’s board of directors; there are no shares entitled to vote (see #5A of instructions).

5B. The corporation’s board of directors; the corporation has disposed of its assets and has not conducted any

business for the past five (5) years (see #5B of instructions).

5C. The corporation’s board of directors; the corporation has been adjudicated bankrupt (see #5C of

instructions).

SIGNATURES (see item #6 of the instructions)

Subscribed and sworn to be me this ______ day of _____________________________________, ______.

___________________________________________________

Notary Public in and for

My Commission Expires:

08-460 (Rev. 5/99)

Form 08-460 - Certificate Of Election Page 2