Articles Of Voluntary Dissolution Form January 2005 Page 3

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COMMONWEALTH OF MASSACHUSETTS
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Boston, Massachusetts 02108-1512
Articles of Voluntary Dissolution
(General Laws Chapter 156D, Section 14.03; 950 CMR 113.41)
I hereby certify that upon examination of these articles of voluntary dissolution,
duly submitted to me, it appears that the provisions of the General Laws relative to
the organization of corporations have been complied with, and I hereby approve
said articles; and the fi ling fee in the amount of $ __________________________
having been paid, said articles are deemed to have been fi led with me this
_____________day of _________________
day of _________________
day of
, 20 ______ , at_________ a.m./p.m.
time
Eff ective date: _________________________________________________
(must be within 90 days of date submitted)
Examiner
WILLIAM FRANCIS GALVIN
Secretary of the Commonwealth
#A.R.
Filing fee: $100
TO BE FILLED IN BY CORPORATION
Contact Information:
___________________________________________________________
___________________________________________________________
___________________________________________________________
Telephone: ___________________________________________________
Email: ______________________________________________________
Upon fi ling, a copy of this fi ling will be available at
If the document is rejected, a copy of the rejection sheet and rejected document will
be available in the rejected queue.

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