Application For Certificate Of Withdrawal Of A Foreign Nonprofit Corporation printable pdf download

Application For Certificate Of Withdrawal Of A Foreign Nonprofit Corporation

FOR OFFICE USE ONLY

025

APPLICATION FOR CERTIFICATE OF WITHDRAWAL

OF A

FOREIGN NONPROFIT CORPORATION

Return to:

Secretary of State

1560 Broadway, Ste. 200

Denver, CO 80202

(303) 894-2251

Fax (303) 894-2242

Filing Fee: $10.00

Submit 1 typed original + 1 copy

(Please include a self-addressed envelope)

Pursuant to the provisions of the Colorado Revised Nonprofit Corporation Act, the undersigned corporation hereby

applies for a Certificate of Withdrawal from the state of Colorado, and for that purpose, submits the following:

Name of the foreign nonprofit corporation in Colorado:

The assumed name the corporation is using in Colorado (If applicable)

State of incorporation: _____________________________________________

The foreign nonprofit corporation is not conducting affairs in the state.

The foreign nonprofit corporation surrenders its authority to conduct affairs in this state.

A post office address to which service of process against the foreign nonprofit corporation

may be mailed is:

A list of all trade names on file in the Office of the Secretary of State:

________________________________

Signature__________________________________

Title ____________________

Form Approved Secretary of State 8/98

Application For Certificate Of Withdrawal Of A Foreign Nonprofit Corporation