Certificate Of Dissolution Form - Connecticut Secretary Of The State printable pdf download

Certificate Of Dissolution Form - Connecticut Secretary Of The State

CERTIFICATE

OF DISSOLUTION

STOCK CORPORATION

Office of the Secretary of the State

30 Trinity Street / P.O. Box 150470 / Hartford, CT 06115-0470 /Rev 12/1999

Please see reverse for instruction.

Space For Offke Use Only

OF COBPOBATION:

2. DATE ON WHICH DISSOLUTION WAS AUTHORIZED:

3. Complete Block (A) if Dissolution was authorized by incorporators or initial directors pi block (B)

if Dissolution was authorized by directors and shareholders.

(A)

Place a check mark next to either 1 m 2 as appropriate:

1. None of the corporation’s shares have been issued

2. The corporation has not commenced business

The undersigned makes the following assertions in connection with the selection made under section (A) of this form: that

no debt of the corporation remains unpaid; that if shares were issued, the net assets of the corporation remaining alter

winding up have been distributed to the shareholders; and that a majority of the incorporators or initial directors

authorized the dissolution.

(B)

The dissolution was approved by resolution of the board of directors and authorized by

shareholders as follows:

Number of votes entitled

Number of votes cast in favor of

tobccast

dissolution

Number of votes cast against 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 shareholder votes cast in favor of dissolution was sufficient for approval.

Dated this

4. EXECUTION

day of

Print or type name of signatory

Capacity of signatory

Signature

NOTE: A corporation

may only revoke its dissolution within 120 days

following the effective date of such dissolution.

Certificate Of Dissolution Form - Connecticut Secretary Of The State