Instructions For Completion Of Certificate Of Dissolution Nonstock Corporation

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INSTRUCTIONS FOR COMPLETION OF CERTIFICATE OF
DISSOLUTION NONSTOCK CORPORATION
A Connecticut nonstock corporation may be dissolved by incorporators, initial directors,
members or directors. Please consult The Connecticut Revised Nonstock Corporation Act to
determine which of these methods are appropriate for your corporation. Any questions
concerning completion of this form or the dissolution process in general should be
directed to the Corporation's own legal counsel. After the necessary corporate action has
been taken to authorize the dissolution, a Certificate of Dissolution, must be filed with the
Secretary of the State. Following dissolution, the affairs of the corporation must be wound up in
the manner provided in The Connecticut Revised Nonstock Corporation Act.
Instructions correspond with numbered entries on the form
1.
NAME OF CORPORATION: Please provide the full name of the corporation as it currently
appears on the records of the Secretary of the State.
2.
DATE DISSOLUTION WAS AUTHORIZED: Please provide the month, day and year on
which the directors/members authorized the dissolution of the corporation.
3.
COMPLETE APPROPRIATE BLOCK - (A) (B) or (C)
(A)
Place check selection (A) if the dissolution was authorized by a majority of the
corporation's initial directors or incorporators.
(B)
Place check selection (B) if the dissolution was authorized by resolution of the
corporation's board of directors and approved by its members. Provide information
regarding the membership vote to approve the dissolution by including either the
number of member votes entitled to be cast, the number of member votes cast in
favor of the dissolution and the number of member votes cast against the dissolution
or the number of member votes entitled to be cast and the number of member votes
cast in favor of dissolution along with a check mark next to the statement that the
number of member votes cast in favor of dissolution was sufficient for approval.
Note: if members are entitled to vote separately by class, each class must be
designated separately along with the required vote information for each.
(C)
Place check selection (C) if the dissolution was approved by resolution of the board
of directors without member vote and provide the number of director votes required
to approve the dissolution and the number of director votes cast in favor the
dissolution.
4.
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.
MAKE CHECKS PAYABLE TO THE SECRETARY OF THE STATE

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