Free c156ds1403950c11341.indd - Massachusetts

D PC

The Commonwealth of Massachusetts
William Francis Galvin Secretary of the Commonwealth One Ashburton Place, Boston, Massachusetts 02108-1512

FORM MUST BE TYPED

(General Laws Chapter 156D, Section 14.03; 950 CMR 113.41)

Articles of Voluntary Dissolution

FORM MUST BE TYPED

(1) Exact name of corporation: ___________________________________________________________________________

(2) Registered office address: _____________________________________________________________________________ (number, street, city or town, state, zip code) (3) Date authorized: ____________________________________________________________________________________ (month, day, year)

(4-5) Approved by: (check appropriate box) ® the shareholders as required by G.L. Chapter 156D, Section 14.02. The total number of votes entitled to be cast on the proposal to dissolve _____________________________________; (number entitled to vote) with_____________________ votes for and _____________________ votes against the dissolution proposal; or (number for dissolution) (number against dissolution) _________________________ undisputed votes for dissolution; and the number cast was sufficient for approval. (number of undisputed votes) If voting by groups was required on the dissolution proposal, attach an additional sheet that states the total number of votes entitled to be cast by each voting group; and either the total number of votes cast for and against dissolution by each voting group; or the total of undisputed votes cast for dissolution by each group; and a statement that the number cast for dissolution was sufficient for approval. OR ® a method or procedure specified in the articles of organization pursuant to G.L. Chapter 156D, Section 14.02. Attach an additional sheet to set forth such method or procedure, together with sufficient information to establish that the corporation has complied therewith.

(6) The dissolution of the corporation shall be effective at the time and on the date approved by the Division, unless a later effective date not more than 90 days from the date and time of filing is specified: ______________________________________

P.C.

c156ds1403950c11341 01/13/05

Signed by: ___________________________________________________________________________________________ , (signature of authorized individual) ® Chairman of the board of directors, ® President, ® Other officer, ® Court-appointed fiduciary,

on this _________________________ day of_________________________________________ , _____________________ . of

COMMONWEALTH OF MASSACHUSETTS
Secretary of the Commonwealth One Ashburton Place, Boston, Massachusetts 02108-1512

William Francis Galvin

(General Laws Chapter 156D, Section 14.03; 950 CMR 113.41)
I hereby certify that upon examination of these articles of voluntary dissolution, duly submitted to me, it appears that the provisions of the General Laws relative to the organization of corporations have been complied with, and I hereby approve said articles; and the filing fee in the amount of $ __________________________ having been paid, said articles are deemed to have been filed with me this _____________day of _________________ , 20 ______ , at_________ a.m./p.m. day time Effective date: _________________________________________________ (must be within 90 days of date submitted)

Articles of Voluntary Dissolution

Examiner #A.R.

WILLIAM FRANCIS GALVIN
Secretary of the Commonwealth

Filing fee: $100

TO BE FILLED IN BY CORPORATION
Contact Information: ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ Telephone: ___________________________________________________ Email: ______________________________________________________ Upon filing, a copy of this filing will be available at www.sec.state.ma.us/cor. If the document is rejected, a copy of the rejection sheet and rejected document will be available in the rejected queue.