Form 604 - Articles Of Dissolution Of A Professional Association Page 3

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604
Form
(Revised 09/09)
Return in duplicate to:
Secretary of State
P.O. Box 13697
Austin, TX 78711-3697
Articles of Dissolution of a
512 463-5555
Professional Association
FAX: 512/463-5709
Filing Fee: $40
1. The name of the professional association is:
The file number issued to the association by the secretary of state is:
2. The address of the association is:
Street or Mailing Address
City
State
Zip Code
3. The name and address of each person serving on the member of the board of directors or executive
committee are:
First Name
M.I.
Last Name
Suffix
Street or Mailing Address
City
State
Country
Zip Code
First Name
M.I.
Last Name
Suffix
Street or Mailing Address
City
State
Country
Zip Code
First Name
M.I.
Last Name
Suffix
Street or Mailing Address
City
State
Country
Zip Code
4. The name, address, and office title of each officer of the association are:
Officer Title
President
First Name
M.I.
Last Name
Suffix
Street or Mailing Address
City
State
Country
Zip Code
Form 607
Form 607
3
3

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