(Note: The following information applies to sections of this document):
*6.
(See Sections 33-14-101 and 102 of the 1976 South Carolina Code of Laws, as amended)
*7.
(See Section 33-1-230(b) of the 1976 South Carolina Code of Laws, as amended)
*8a.
(Pursuant to Section 33-14-101 of the 1976 South Carolina Code of Laws, as amended)
*8b.
(See Section 33-14-102 of the 1976 South Carolina Code of Laws, as amended). Pursuant to Section 33-14-
103(a) (5) and (6) of the 1976 South Carolina Code of Laws, as amended, the corporation can state the total
number of undisputed shares cast for dissolution by each voting group together with a statement that the
number of votes cast for dissolution was sufficient for approval for the dissolution.
This form must be executed by an officer or director of the corporation.
________________________________________
Name of Corporation
______________________
________________________________________
Date
Signature
________________________________________
Type or Print Name
________________________________________
Position of Officer
FILING INSTRUCTIONS
1.
Two copies of this form and a self addressed stamped envelope should be delivered to the
Secretary of State’s Office for filing in order to receive a certified copy for your records.
2.
If the space in this form is insufficient, please attach additional sheets containing a reference to the
appropriate section in this form.
3.
Filing fees (payable to the Secretary of State at the time of filing this document) - $10.00
Mail to:
SC Secretary of State
1205 Pendleton Street, Suite 525
Columbia, SC 29201
Form Revised by South Carolina Secretary of State, September 2010