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OKLAHOMA CERTIFICATE OF DISSOLUTION
TO: OKLAHOMA SECRETARY OF STATE 2300 N. Lincoln Blvd., Room 101, State Capitol Building Oklahoma City, Oklahoma 73105-4897 (405) 521-3912
The undersigned, for the purpose of dissolving said corporation pursuant to Section 1096 of the Oklahoma General Corporation Act, hereby certifies:
1. The name of the corporation is:
2.
The date of incorporation of such corporation is:
3.
The name of its registered agent and the street address of its registered office in the State of Oklahoma is:
Name
Street Address City (P.O. BOXES ARE NOT ACCEPTABLE)
County
Zip Code
4.
The date dissolution was authorized:
5.
Check the applicable statement: The dissolution has been authorized by the board of directors and shareholders of the corporation in accordance with subsections A & B of Section 1096. OR The dissolution has been authorized by all of the shareholders of the corporation entitled to vote on a dissolution in accordance with subsection C of Section 1096.
6.
The names and addresses of its officers are: NAME ADDRESS CITY STATE ZIP CODE
PRESIDENT VICE PRESIDENT SECRETARY ASST. SECRETARY TREASURER
7.
The names and addresses of its directors, if any, are: NAME ADDRESS CITY STATE ZIP CODE
DIRECTOR DIRECTOR DIRECTOR
IN WITNESS WHEREOF, said corporation has caused this certificate of dissolution to be executed this of , .
day
Signature List Title
Type or Print Name ATTEST:
Signature List Title
Type or Print Name
(SOS FORM 0019-12/01)