BCS/CD-530 (Rev. 04/11)
MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
BUREAU OF COMMERCIAL SERVICES
Date Received
(FOR BUREAU USE ONLY)
This document is effective on the date filed, unless a
subsequent effective date within 90 days after received
date is stated in the document.
Name
Address
ZIP Code
City
State
Effective Date:
Ç
È
Document will be returned to the name and address you enter above.
If left blank document will be mailed to the registered office.
CERTIFICATE OF DISSOLUTION
For use by Domestic Corporations
(Please read information and instructions on the last page)
Pursuant to the provisions of Act 284, Public Acts of 1972 (profit corporations), or Act 162, Public Acts of 1982 (nonprofit
corporations), the undersigned person(s) executes the following Certificate:
1. The name of the corporation is:
2. The identification number assigned by the Bureau is:
3.
The corporation has not commenced business or affairs, has issued no shares, has no members entitled to vote on
dissolution, and has no debts or other liabilities.
4.
The corporation has received no payments on subscriptions for its shares or memberships, contributions or other funds
from members or third parties, or, if it has received payments, has returned them to those entitled thereto, less any part
thereof disbursed for expenses.
5.
A majority of the incorporators or directors have elected that the corporation be dissolved.
Signed this _______________ day of _______________ , ____________
Signatures of a majority of the
Incorporators OR
Directors (check only one box)
(Signature)
(Signature)
(Type or Print Name and Title)
(Type or Print Name and Title)
(Signature)
(Signature)
(Type or Print Name and Title)
(Type or Print Name and Title)
(Signature)
(Signature)
(Type or Print Name and Title)
(Type or Print Name and Title)