Form 510 - Articles Of Dissolution For A Limited Liability Company - Wisconsin Department Of Financial Institutions Page 2

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ARTICLES OF DISSOLUTION - Limited Liability Company
▲ Enter your return address within the bracket above.
Phone number during the day: (
) ______ - ___________________
INSTRUCTIONS (Ref. sec. 183.0906 Wis. Stats. for document content)
Submit one original and one exact copy along with the required filing fee of $20.00 to the address
listed below. Make checks payable to the “Department of Financial Institutions”. Filing fee is non-
refundable. Sign the document manually or otherwise allowed under sec. 183.0107(1g)(c).
Mailing Address:
Physical Address for Express Mail:
Phone: 608-261-7577
Department of Financial Institutions
Department of Financial Institutions
FAX: 608-267-6813
Division of Corporate & Consumer
Division of Corporate & Consumer Services
TTY: 608-266-8818
Services
201 W. Washington Ave – Suite 300
P O Box 7846
Madison WI 53703
Madison WI 53707-7846
NOTICE: This form may be used to accomplish a filing required or permitted by statute to be made with the
department. Information requested may be used for secondary purposes. This document can be made available in
alternate formats upon request to qualifying individuals with disabilities
A. Enter the name of the limited liability company and the date the articles of organization were filed with the
department.
B. Mark the appropriate choice to indicate the statutory ground for dissolving the limited liability company. (Ref.
sec. 183.0901, Wis. Stats.)
C. Enter the date of execution of the document and the name and title of the person signing. The document must
be signed by one of the following: a manager, if management of the company is vested in a manager or managers,
or a member, if management of the company is reserved to the members.
If the document is executed in Wisconsin, sec. 182.01(3), Wis. Stats., provides that it shall not be filed unless the
name of the drafter (either an individual or a governmental agency) is printed in a legible manner. If the document
is not executed in Wisconsin, enter that remark.
Subject to the conditions set in sec. 183.0110 and 183.0111, Wis. Stats., a document filed by the department under
Ch. 183 is effective on the date it is received by the department for filing, unless a delayed (future) effective date is
declared in the document. To name a delayed effective date, enter a remark “This document has a delayed effective
date of (enter the future date).” The delayed effective date may not be more than 90 days after the date the
document is received by the department for filing.
When the document has been filed, an acknowledgement copy stamped “FILED” will be sent to the address you
indicate above.
Filing articles of dissolution does not satisfy a company’s obligation to file a Final Return with tax authorities, if a
return is due. For particulars, contact WI Dept of Revenue at (608) 266-0800 or
DFI/CORP
I(R11/12)
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