Form Cp - Certificate Of Dissolution Prior To Commencing Business

Form Cp - Certificate Of Dissolution Prior To Commencing Business - 1999

Form

Certificate of Dissolution

Prior to Commencing Business

We, the undersigned, being (Check one of the following)

_____ A majority of directors of the corporation

_____ A majority of incorporators because no directors were elected or named in the articles of incorpo-

ration

for ___________________________________________, a Kansas corporation, certify as follows:

Name of Corporation

1. The business or activity for which the corporation was organized has not begun,

2. That no part of the capital of the corporation has been paid, or if some capital has been paid, that

the amount actually paid in for the corporation’s shares, less any part thereof disbursed for

necessary expenses, has been returned to those entitled to it,

3. That all issued stock certificates, if any, have been surrendered and canceled,

4. That all rights and franchises of the corporation are hereby surrendered.

I declare (or verify, certify or state) under penalty of perjury under the laws of the state of Kansas

that the foregoing is true and correct. Executed on ____________________ in accordance with K.S.A.

17-6803.

Date

By a majority of directors or incorporators:

_______________________________

This document must be submitted in duplicate, along with a $20 filing fee, and mailed to:

Ron Thornburgh, Secretary of State

First Floor, Memorial Hall

120 S.W. 10th Ave.

Topeka, KS 66612-1594

(785) 296-4564

For general information and forms requests, please call: (785) 296-4564

For questions on completing report, please call: (785) 296-4579

If you have comments or suggestions, you may e-mail us at:

This form may be downloaded from our web site at:

Rev. 12/99 kp

Form Cp - Certificate Of Dissolution Prior To Commencing Business - 1999