Form 55 - Revocation Of Voluntary Dissolution - Stock Or Nonstock Corporation Or Limited Liability Company Page 2

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Revocation of dissolution by an action of the members or a 3
person (Continued)
3.
ENTITLED TO VOTE
Membership
Number of Memberships
Number of Votes
Number of Votes Indisputably
Class
Outstanding
Entitled to be Cast
Voting on Revocation
of Dissolution
__________
__________
__________
__________
__________
__________
__________
__________
VOTES CAST (Reporting option 1)
C. Executed on __________________
______________________________
Membership
Number of Votes Cast
Class
FOR revocation
AGAINST revocation
of dissolution
of dissolution
__________
__________
__________ The number of votes cast for revocation
of dissolution was sufficient for approval.
(Date)
(Signature)
__________
__________
__________ The number of votes cast for revocation
Title: (
) President (
) Secretary
of dissolution was sufficient for approval.
or other officer title _______________
______________________________
(Printed name)
VOTES CAST (Reporting option 2)
Membership
Number of Undisputed
Class Votes Cast FOR revocation of dissolution
__________
__________
The number of votes cast for revocation of
dissolution was sufficient for approval.
__________
__________
The number of votes cast for revocation of
dissolution was sufficient for approval.
Contingency Statement:
Written approval for revocation of dissolution of the corporation was obtained from the person whose
approval is required by a provision of the articles of incorporation authorized under sec. 181.1030.
F. Executed on _____________________________
_____________________________________________
(Date)
(Signature)
Select and mark (X) below for the appropriate title of
_____________________________________________
the person executing the document.
(Printed name)
For a corporation:
For a limited liability company:
Title:
President OR
Secretary
Title:
Member OR
Manager
or other officer title
This document was drafted by
(Name the individual who drafted the document)
DFI/CORP/55(R11/12)
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