Form Nw - Not For Profit Corporation Dissolution By Written Consent Form

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Kansas Secretary of State
NW
Not For Profit Corporation Dissolution by Written Consent
All information must be completed or this document will not be accepted for filing.
1. Name of the corporation
________________________________________
Name must match the name on record with the Secretary of State
________________________________________
2. All the members with voting power do hereby
consent to the dissolution of the corporation.
Members’ Signatures
_________________________________________
Do not write in this space
_________________________________________
_________________________________________
______________________________________________
_________________________________________
______________________________________________
_________________________________________
______________________________________________
Officers
Name
Title
Address
City
State
Zip Code
Directors
Name
Address
City
State
Zip Code
I, ________________________________________________, declare under penalty of perjury under the laws of
Name of officer
the state of Kansas, that I am an officer in the above-named corporation, that the above consent has been signed by or
on behalf of ALL members entitled to vote on the dissolution, and that the foregoing is true and correct.
Executed on the ________ of ___________, _____________.
Day
Month
Year
_________________________________________
Officer’s Signature
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