Form Ss-4246 - Notice Of Dissolution (Limited Liability Company)

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For Office Use Only
NOTICE OF DISSOLUTION
(LIMITED LIABILITY COMPANY)
Corporate Filings
312 Rosa L. Parks Ave.
6
Floor, William R. Snodgrass Tower
th
Nashville, TN 37243
Pursuant to the provisions of §48-245-101 of the Tennessee Limited Liability Company Act, or pursuant to the
provisions of §48-249-609 of the Tennessee Revised Limited Liability Company Act, the undersigned Limited
Liability Company submits the following Notice of Dissolution:
1. The name of the Limited Liability Company is: ________________________________________________
2. If any one of the following statements apply, please mark and complete:
Dissolution was approved by members pursuant to TCA §48-245-202(b) or §48-249-603(b), and
(a)
[select one]
the resolution was approved at a meeting held on ______________________________
date)[Date not required under TN Revised LLC Act];The requisite vote of the members was
received.
(or)
the members validly took action without a meeting.
Dissolution is based upon the expiration of the LLC duration pursuant to TCA §48-245-101(a)(1)
(b)
or §48-249-601, and the expiration date is _______________________ (date).
Dissolution is based upon termination of a member's interest pursuant to TCA §48-245-101(a)(5),
(c)
and the continued membership of a member terminated on _____________________
(date).
(d)
Dissolution is based upon the occurrence of the following event as specified in the articles or
operating agreement pursuant to TCA §48-249-601
____________________________________________________________________________________
____________________________________________________________________________________
and the date of the event is ______________________ (date).
3. If the document is not to be effective upon filing by the Secretary of State, the delayed effective date/
time is: ________________ , ___________ (date), ________________ (time).
(A delayed effective date shall not be later than the 90th day after the date this document is filed by the
Secretary of State)
______________________________________
____________________________________________
Signature Date
Name of Limited Liability Company
______________________________________
____________________________________________
Signer’s Capacity
Signature
____________________________________________
Name (typed or printed)
SS-4246 (Rev. 01/06)
Filing Fee: $20
RDA 2458

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