Certificate Of Revocation Of Dissolution Nonstock Corporation Form

CERTIFICATE OF REVOCATION OF DISSOLUTION

NONSTOCK CORPORATION

A nonstock corporation may revoke its dissolution only within 120 days of the effective date of

such dissolution. Revocation may be authorized in the same manner as the dissolution. Please

consult the Connecticut Revised Nonstock Corporation Act to determine which method is

appropriate. Any questions concerning the completion of this form or the revocation

process in general should be directed to the Corporation's own legal counsel.

Following the appropriate corporate action to authorize revocation, a Certificate of Revocation,

see reverse, must be filed in this office.

Instructions correspond with numbered entries on the form

NAME OF CORPORATION: Please provide the complete name of the corporation as it

currently appears on the records of the Secretary of the State.

EFFECTIVE DATE OF DISSOLUTION THAT IS REVOKED: Please provide the

month, day and year on which the corporation's dissolution was effective.

DATE DISSOLUTION WAS AUTHORIZED: Please provide the month, day and year

on which the directors/members authorized the dissolution of the corporation.

COMPLETE APPROPRIATE BLOCK - (A), (B) or (C)

(A)

Place a check mark in block (A) if revocation of the dissolution was authorized by

the corporation’s directors or incorporators.

(B)

If the dissolution was authorized by resolution of the corporation's board of

directors and approved by its members, check block (B) and provide either the

number of member votes entitled to be cast, the number of member votes cast in

favor of the revocation and the number of member votes cast against the

revocation or the number of member votes entitled to be cast and the number of

member votes cast in favor of the revocation along with a check mark next to the

statement that the number of member votes cast in favor of the revocation was

sufficient for approval. Note: if members were entitled to vote separately by

class, each class must be designated separately along with the required vote

information for each.

(C)

If the corporation's directors revoked the dissolution, check block (C) and provide

the number of director votes required to approve the revocation and the number of

director votes cast in favor to the revocation.

EXECUTION: The document must be executed by an authorized official of the

corporation. That person must print or type their name, state the capacity under which

they sign and provide a signature. The execution constitutes a legal statement under

the penalties of false statement that the information provided in the document is

true.

PLEASE MAKE CHECKS PAYABLE TO THE SECRETARY OF THE STATE

Certificate Of Revocation Of Dissolution Nonstock Corporation Form - Instructions