COMMONWEALTH OF VIRGINIA
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STATE CORPORATION COMMISSION
LLC-1050
ARTICLES OF CANCELLATION
(07/13)
OF A VIRGINIA LIMITED LIABILITY COMPANY
The undersigned, on behalf of the limited liability company set forth below, pursuant to § 13.1-1050 of the
Code of Virginia, states as follows:
1. The name of the limited liability company is
_______________________________________________________________________.
2. The identification number issued by the Commission to the limited liability company is
__________________.
3. The limited liability company’s certificate of organization issued by the State Corporation
Commission was effective on ________________________________.
4. The limited liability company has completed the winding up of its affairs. (See Instructions.)
5. Other information the members determine to include herein (optional): _____________________
_______________________________________________________________________.
Signed in the name of the limited liability company by:
(signature)
(date)
(printed name)
(title (e.g., manager or member))
(limited liability company’s SCC ID no. (optional))
(telephone number (optional))
CHECK IF APPLICABLE (See Instructions):
The person signing this document on behalf of the limited liability company has been
delegated the right and power to manage the company’s business and affairs.
(The articles must be signed in the name of the limited liability company by any manager or other person who has been
delegated the right and power to manage the business and affairs of the limited liability company, or if no managers or such
other persons have been selected, by any member of the limited liability company, or if the limited liability company was
formed without any managers or members, and no members have been admitted, by an organizer.)
Personal Information, such as a social security number, should NOT be included in a business entity document submitted to the Office of the Clerk for
filing with the Commission. For more information, see Notice Regarding Personal Identifiable Information at
REVIEW THE INSTRUCTIONS THAT FOLLOW BEFORE SUBMITTING THIS FORM.
Provide a name and mailing address to which correspondence regarding the filing of this document is to be sent.
(If left blank, it will be sent to the address on a cover letter, if any, or the address of the registered agent.)
(name)
(mailing address)