Form Ss-4246 - Notice Of Dissolution (Limited Liability Company)

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For Office Use Only
NOTICE OF DISSOLUTION
(LIMITED LIABILITY COMPANY)
Corporate Filings
312 Eighth Avenue North
6 th Floor, William R. Snodgrass Tower
Nashville, TN 37243
Pursuant to the provisions of § 48-245-101 of the Tennessee Limited Liability Company Act, the undersigned
Limited Liability Company submits the following Notice of Dissolution:
1. The name of the Limited Liability Company is:
2. If any one of the following statements apply, please mark and complete:
(a)
Dissolution was approved by members pursuant to TCA §48-245-202(b), and [select one]:
the resolution was approved at a meeting held on ______________________________ (date).
The requisite vote of the members was received.
(or)
the members validly took action without a meeting.
(b)
Dissolution is based upon the expiration of the LLC duration pursuant to TCA §48-245-101(a)(1),
and the expiration date is _______________________ (date).
(c)
Dissolution is based upon termination of a member's interest pursuant to TCA §48-245-
101(a)(5), and the continued membership of a member terminated on _____________________
(date).
3. If the document is not to be effective upon filing by the Secretary of State, the delayed effective date/
time is:
,
(date),
(time).
NOTE: A delayed effective date shall not be later than the 90th day after the date this document is filed by
the Secretary of State.
Signature Date
Name of Limited Liability Company
Signer’s Capacity
Signature
Name (typed or printed)
Filing Fee: $20.00
SS-4246 (Rev. 11/01)
RDA 2458

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