6. Pursuant to W.S. 17-19-1404(a)(vi), was approval of dissolution required by anyone other than the members, the
board of directors, or the incorporators?
Yes
No
If the answer to 6 is "Yes," please answer a.
a. Was such approval for dissolution obtained?
Yes
No
(i) If approval of the dissolution was required by a person or persons other than the members, the board of
directors, or the incorporators please attach a separate written statement of approval.
(The written statement of approval must be executed by the person(s) authorizing the approval.)
Signature: ___________________________________________
Date:
(
May be executed by the Chairman of the Board, President, or another of its officers.)
(mm/dd/yyyy)
Print Name:
Contact Person:
Title:
Daytime Phone Number:
Email:
(Email provided will receive filing evidence)
*May list multiple email addresses
Checklist
Filing Fee: $10.00 Make check or money order payable to Wyoming Secretary of State.
Please submit one originally signed document.
Typical processing time is 3-5 business days following the date of receipt in our office. If your entity is a public
benefit or religious corporation please expect a delayed processing time as the documents are additionally submitted to
the Attorney General’s Office for approval.
Please review form prior to submitting to the Secretary of State to ensure all areas have been
completed to avoid a delay in the processing of your documents.
Notice of Intent to Dissolve Information
Samples of previously filed Notice of Intents to Dissolve can be obtained by contacting the business division at
business@wyo.gov
The Notice of Intent to Dissolve should include (at a minimum):
The title of the document: Notice of Intent to Dissolve
The company name, as registered with the Wyoming Secretary of State
A statement that the company has dissolved
A statement pertaining to where the remaining assets were distributed
The document must be signed and dated with the printed name and title of the signatory
NP-ArticlesDissolution - Revised October 2015