State of Alaska
Division of Corporations, Business and Professional Licensing
CORPORATIONS SECTION
PO Box 110806
Juneau, AK 99811-0806
Phone: (907) 465-2550
Fax: (907) 465-2974
Website:
STATEMENT OF INTENT TO DISSOLVE
Domestic Cooperative Corporation
AS 10.15.465
Filing Fee: $10.00 (non-refundable)
INSTRUCTIONS (Please retain for your records):
NOTICE: The Statement of Intent to Dissolve will not be filed if a biennial is report due or the signatures do not
match what the Corporations Section has on record. Please verify the following before completing the
application.
o Have all current biennial reports be filed?
o Are the officers/directors/shareholders up to date on our records?
To verify this information please search for the entity by going to Search Corporations Database in the
Corporations Section of our website at . If there is a biennial report due, the
report may be filed online by selecting Biennial Reports on the Corporations Section page. If the
officers/directors/shareholders have changed, but no biennial report is due, please submit a Notice of Change
located in the Forms and Fees section.
Refer to Alaska Statutes 10.15.465. A business may decide to dissolve itself by filing a Statement of
Intent to Dissolve in conjunction with the filing of Articles of Dissolution (form 08-4670). Both forms are
required to complete the dissolution.
ITEM 1: Provide the name of the entity currently on record and the Alaska Entity Number.
ITEM 2: Provide names, addresses and titles of the officers and directors.
ITEM 3: Provide a copy of resolution adopted which authorizes the dissolution.
ITEM 4: Provide the date the amendment was adopted by the members. You must indicate the number of
members voting for and against the resolution, as well as the number of shareholders voting for and against
the resolution, if applicable.
ITEM 5: The Statement of Intent to Dissolve must be signed by the corporate president or vice president and
the secretary or assistant secretary.
Mail the Articles of Dissolution and the non-refundable $10.00 filing fee in U.S. dollars to:
State of Alaska, Corporations Section, PO Box 110806, Juneau, AK 99811-0806
STANDARD PROCESSING TIME for complete and correct applications submitted to this office is
approximately 10-15 business days. All applications are reviewed in the date order they are received.
08-466 (Rev. 02/01/2012)
Articles of Dissolution Instructions