Arkansas Secretary of State
M
M
ark
artin
1401 W. Capitol, Suite 250, Little Rock, AR 72201
501-682-3409 •
Instructions: File with the Secretary of State’s Business and Commercial Services, 1401 W. Capitol, Suite 250, Little Rock, AR 72201 with payment of
fees. A copy will be returned to the corporation at the listed address.
CERTIFICATE OF DISSOLUTION OF A CORPORATION
(PLEASE TYPE OR PRINT CLEARLY IN INK)
We, the President and Secretary of the _____________________________________________________________, a
corporation duly organized, created and existing under and by virtue of the laws of the State of Arkansas, do hereby
certify in compliance with the A.C.A. § 4-26-1102 that:
1.
At a special (or regular) meeting of the stockholders of said corporation, this dissolution has been authorized. Such
meeting was held at the office of said corporation at ___________________________________________________
on __________________________________, ____________________.
2.
Name of Corporation is__________________________________________________________________________
The names and respective addresses of its officers are: (Please complete this information on page two.)
3.
4.
The names and respective addresses of its directors are: (Please complete this information on page two.)
5.
A copy of the shareholders resolution directing the dissolution of this corporation is attached.
6.
The number of shares outstanding was ________________________. If the shares of any class are entitled to vote
as a class, the designation and number of outstanding shares of each such class are: ________________________.
7.
The number of shares which voted for the resolution was ___________________ (%). Against the resolution was
_________________ (%).
If the shares of any class were entitled to vote as a class, list the number of shares of each such class which voted
for and against the resolution:
Class
Number in Class
Number Voted
Number Voted
______
Against: _____ (%)
___________________
__________________
(%)
For:
Against:______(%)
__________________
___________________
For: ______ (%)
IN WITNESS WHEREOF, the said Corporation, ____________________________________ has caused its corporation
name to be subscribed by its President, who hereby verifies that the statements contained in the foregoing Certificate of
Dissolution are true and correct to the best of his/her knowledge and beliefs, and its corporate seal hereto affixed and duly
attested by its Secretary, on this ____________day of ___________________________, ___________________.
I understand that knowingly signing a false document with the intent to file with the Arkansas Secretary of State is a Class
C misdemeanor and is punishable by a fine up to $100.00 and/or imprisonment up to 30 days.
Corporate Seal
_____________________________________________
Corporation Name
_____________________________________________
President or Vice-President (Type or Print)
_____________________________________________
ATTEST
Authorized Signature
_____________________________________________
_____________________________________________
Secretary
Address
$50.00 Filing Fee Payable to Arkansas Secretary of State
DO-7 Rev 09/15
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