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Certificate Of Dissolution Nonstock Corporation - Connecticut Secretary Of The State

CERTIFICATE OF DISSOLUTION

NONSTOCK CORPORATION

Office of the Secretary of the State

MAILING ADDRESS:

DELIVERY ADDRESS:

Commercial Recording Division

Connecticut Secretary of the State

P.O. Box 150470

30 Trinity Street

Hartford, CT 06115-0470

Hartford, CT 06106

860-509-6003

NOTE: A corporation may only revoke its dissolution within 120 days

following the effective date of such dissolution.

FEE: $20.00

Space For Office Use Only

Make Checks Payable To “Secretary of the State”

1. NAME OF CORPORATION

2. DATE ON WHICH DISSOLUTION WAS AUTHORIZED ________/_______/_______

Month

Day

Year

3. PLACE A CHECK MARK IN BLOCK (A), (B) OR (C)

(A)_____ The dissolution was authorized by approval of a majority of incorporators or initial directors. No debt of

the corporation remains unpaid. The corporation has no member entitled to vote. The corporation has

not commenced the activities for which it was incorporated. The net assets of the corporation remaining

after winding up have been distributed as required by C.G.S. Sections 33-1000 to 33-1290.

(B)_____ The proposal to dissolve was duly approved by the members in the manner required by sections 33-1000

to 33-1290 of the Connecticut General Statutes, and by the Certificate of Incorporation.

(C)_____ The dissolution was authorized by resolution adopted by the board of directors. The corporation has no

members, or no members entitled to vote upon dissolution.

4. EXECUTION

Dated this _____________day of _____________, 20______.

Print or type name of signatory

Capacity of signatory

Signature

Rev. 12/07/09

Certificate Of Dissolution Nonstock Corporation - Connecticut Secretary Of The State