State of Alaska
DO NOT STAMP ABOVE THIS BOX
Division of Corporations, Business and Professional Licensing
CORP
CORPORATIONS SECTION
PO Box 110806
Juneau, AK 99811-0806
Phone: (907) 465-2550
Fax: (907) 465-2974
Website:
(OFFICE USE ONLY)
CERTIFICATE OF ELECTION TO DISSOLVE
Business, Professional or Cooperative Corporation
1. Name of the corporation:
Alaska Entity #:
The names, addresses, and titles of the officers and directors:
2.
Title
Name
Mailing Address
City
State
ZIP Code
President
Vice President
Secretary
Treasurer
Director
Director
Director
If necessary, attach a list of additional officers, directors, shareholders, and alien affiliates on a separate
8½” x 11” sheet of paper.
3. The corporation has elected to wind up and dissolve.
Complete appropriate section:
The election to dissolve was approved by the shareholders by : (Check only one box below)
4.
Election. The number of shares voting for the election was _______________, which represents at least
2/3 of the shareholders entitled to vote.
The corporation’s shareholders by written consent. A copy of the consent signed by all of the shareholders
of the corporation must be attached.
--- or ---
The election was approved by the board of directors with one of the following statements: (Check only one
5.
box below)
A statement that there are no shares issued, or
A statement that the corporation was disposed of all of its assets and has not conducted any business
for the past five years, or
A statement that the corporation has been adjudicated bankrupt.
08-460 (Rev. 07/2010)
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