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MINNESOTA SECRETARY OF STATE
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ARTICLES OF DISSOLUTION AND TERMINATION
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MSA 332B.803
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Articles of Dissolution and Termination can only be used to dissolve a Limited
Liability Company that has not accepted contributions.
______________________________________________________________________________________
Name of Limited Liability Company
______________________________________________________________________________________
Date of Orginization
No contributions have been accepted.
No debts remain unpaid.
I certify that the foregoing is true and accurate and that I have the authority to sign this document and I fur-
ther certify that I understand that by signing this document, I am subject to the penalties of perjury as set
forth in section 609.48 as if I had signed this reservation under oath.
______________________________________________________________________________________
Signed
______________________________________________________________________________________
Position
_____________________________________________________________(______)_________________
Name and telephone number of contact person
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INSTRUCTIONS
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4. Mail or bring completed forms to:
Secretary of State
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Business Services Division
180 State Office Building
100 Rev. Dr. Martin Luther King Jr. Blvd.
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St. Paul, MN 55155-1299, (651) 296-2803
bus90
Rev. 3-03