Certificate Of Dissolution Stock Corporation Form

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CERTIFICATE OF DISSOLUTION
STOCK CORPORATION
Office of the Secretary of the State
MAILING ADDRESS:
DELIVERY ADDRESS:
Commercial Recording Division
Commercial Recording Division
Connecticut Secretary of the State
Connecticut Secretary of the State
P.O. Box 150470
30 Trinity Street
Hartford, CT 06115-0470
Hartford, CT 06106
860-509-6003
860-509-6003
FEE: $50.00
Space For Office Use Only
Make Checks Payable To “Secretary of the State”
1. NAME OF CORPORATION
2. DATE ON WHICH DISSOLUTION WAS AUTHORIZED ________/_______/_______
3. Complete Block (A) if Dissolution was authorized by incorporators or initial directors or block (B) if Dissolution
was authorized by directors and shareholders.
(A) Place a check mark next to either 1 or 2 as appropriate:
_____1. None of the corporation's shares have been issued
_____2. The corporation has not commenced business
The undersigned makes the following assertions in connection with the selection made under section (A) of this form:
that no debt of the corporation remains unpaid; that if shares were issued, the net assets of the corporation remaining
after winding up have been distributed to the shareholders; and that a majority of the incorporators or initial directors
authorized the dissolution.
(B) _____The proposal to dissolve was duly approved by the shareholders in the manner required by sections 33-600
to 33-998 (inclusive) of the Connecticut General Statutes, and by the Certificate of Incorporation.
4. EXECUTION
Dated this _____________day of _____________, 20_____.
Print or type name of signatory
Capacity of signatory
Signature
NOTE: A corporation may only revoke its dissolution within 120 days
following the effective date of such dissolution.
Revised 12/07/09

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