Certificate Of Dissolution Nonstock Corporation Form

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CERTIFICATE OF DISSOLUTION
NONSTOCK CORPORATION
Office of the Secretary of the State
30 Trinity Street / P.O. Box 150470 / Hartford, CT 06115-0470 /Rev. 12/1999
NOTE: A corporation may only revoke its dissolution within 120 days
following the effective date of such dissolution.
Please see reverse for instructions
Space For Office Use Only
1. NAME OF CORPORATION:
2. DATE ON WHICH DISSOLUTION WAS AUTHORIZED: ________/_______/_______
Months
Day
Year
3. PLACE A CHECK MARK IN BLOCK (A), (B) OR (C) AS APPROPRIATE. IF BLOCK (B) OR (C) IS
SELECTED, PROVIDE REQUIRED VOTING INFORMATION:
(A)_____
The dissolution was authorized by approval of a majority of incorporators or initial directors.
No debt of the corporation remains unpaid. The corporation has no member entitled to vote.
The corporation has not commenced the activities for which it was incorporated. The net
assets of the corporation remaining after winding up have been distributed as required by
C.G.S. Sections 33-1000 to 33-1290.
(B)_____
The dissolution was approved by resolution of the board of directors and authorized by
members as follows:
Number of votes entitled
Number of votes cast in favor of
Number of votes cast against
to be cast
dissolution
dissolution
(Note: If voting by voting groups was required, please provide the above voting information for each group)
CHECK THE FOLLOWING STATEMENT IF APPLICABLE
_____The number of member votes cast in favor of dissolution was sufficient for approval.
(C)_____
The dissolution was approved by resolution of the board of directors acting alone. The
corporation has no members or no members entitled to vote on the dissolution. The directors
voted as follows:
Number of votes required to approve dissolution
Number of votes cast in favor of dissolution
4. EXECUTION:
Dated this_____________day of _____________, 20______.
Print or type name of signatory
Capacity of signatory
Signature

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