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Sec. 180.1404, 181.1404 or 183.0906(2m) Wis. Stats. State of Wisconsin Department of Financial Institutions
REVOCATION OF VOLUNTARY DISSOLUTION STOCK OR NONSTOCK CORPORATION OR LIMITED LIABILITY COMPANY
A. _______________________________________________________________________________________ (Name of Corporation or Limited Liability Company) B. Effective date of the dissolution that is revoked: ___________________________________________(date) C. Date revocation of dissolution was authorized: (date)
D. For Ch. 180 for-profit corporation or Ch. 183 limited liability company (Select and mark (X) item 1 or 2 following, whichever is appropriate) 1. The revocation of dissolution was authorized in the same manner as the dissolution.
OR
The revocation of dissolution was authorized by the board of directors under sec. 180.1404(2)(a) or (b) for 2. the corporation or under sec. 183.0906(1m)(c) for the limited liability company.
OR
E. For Ch. 181 nonstock, including non-profit, corporation (Select, mark (X) and complete item 1, 2 or 3 following, whichever is appropriate) 1. The revocation of dissolution was authorized by the corporation's board or the incorporators.
OR
2. The revocation of dissolution was permitted by action of the board, authorized by members alone or in conjunction with another person.
OR
3.
The revocation of dissolution was authorized by an action of the members or 3rd person by the following vote: (First set forth all the information required under "ENTITLED TO VOTE" and then report the number of "VOTES CAST" using either reporting option 1 or reporting option 2.) (CONTINUE AND COMPLETE ITEM 3 ON THE PAGE FOLLOWING)
FILING FEE - $10.00
See instructions, suggestions and procedures on following pages. DFI/CORP/55(R11-10-08) Use of this form is voluntary.
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3. Revocation of dissolution by an action of the members or a 3rd person (Continued)
ENTITLED TO VOTE Membership Class __________ __________ Number of Memberships Outstanding __________ __________ Number of Votes Entitled to be Cast __________ __________ Number of Votes Indisputably Voting on Revocation of Dissolution __________ __________
C. Executed on __________________
Membership Class __________
VOTES CAST (Reporting option 1)
______________________________
Number of Votes Cast FOR revocation AGAINST revocation of dissolution of dissolution __________ __________ The number of votes cast for revocation of dissolution was sufficient for approval. (Signature) __________ The number of votes cast for revocation of dissolution was sufficient for approval.
(Date) __________ __________ Title: ( ) President ( ) Secretary or other officer title _______________
______________________________ (Printed name) VOTES CAST (Reporting option 2)
Membership Number of Undisputed Class Votes Cast FOR revocation of dissolution __________ __________ Contingency Statement: Written approval for revocation of dissolution of the corporation was obtained from the person whose approval is required by a provision of the articles of incorporation authorized under sec. 181.1030. __________ __________ The number of votes cast for revocation of dissolution was sufficient for approval. The number of votes cast for revocation of dissolution was sufficient for approval.
F. Executed on _____________________________ (Date) Select and mark (X) below for the appropriate title of the person executing the document. For a corporation: Title: President OR or other officer title
_____________________________________________ (Signature) _____________________________________________ (Printed name) For a limited liability company: Title: Member OR Manager
Secretary
This document was drafted by (Name the individual who drafted the document)
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REVOCATION OF VOLUNTARY DISSOLUTION (Chs. 180, 181 & 183)
Enter your return address within the bracket above. Phone number during the day: ( ) ______ - ___________________ INSTRUCTIONS (Ref. sec. 180.1404, 181.1404 and 183.0906(2m), Wis. Stats. for document content) Submit one original and one exact copy along with the filing fee of $10.00 to the address listed below. Make checks payable to the "Department of Financial Institutions". Filing fee is non-refundable. The original must include an original manual signature, per Wis. Stats. Phone: 608-261-7577 Physical Address for Express Mail: Mailing Address: Department of Financial Institutions FAX: 608-267-6813 Department of Financial Institutions Division of Corporate & Consumer Services TTY: 608-266-8818 Division of Corporate & Consumer 345 W. Washington Ave 3rd Fl. Services P O Box 7846 Madison WI 53703 Madison WI 53707-7846 NOTICE: This form may be used to accomplish a filing required or permitted by statute to be made with the department. Upon filing, the information in this document becomes public and may be used for secondary purposes. This document can be made available in alternate formats upon request to qualifying individuals with disabilities. A & B. Indicate the name of the corporation or limited liability company and the effective date of the dissolution that is revoked. (NOTE: Articles of revocation of dissolution must be received by the Department of Financial Institutions within 120 days after the effective date of the dissolution.) C. Indicate the date revocation of the dissolution was authorized. D. Use only for business corporations organized under Ch. 180 or limited liability companies organized under Ch. 183, Wis. Stats. Select and mark (X) the one statement that appropriately describes the manner in which revocation of dissolution was authorized. (NOTE: Utilize item D or item E, but not both.) E. Use only for nonstock, including non-profit, corporations organized under Ch. 181, Wis. Stats. Select and mark (X) the one statement that appropriately describes the manner in which revocation of dissolution was authorized. If authorized by an action of the members or a 3rd person, complete the vote information required under item E 3. F. Enter the date of execution of the document, and the name and title of the person signing the document. The document is to be signed by one of the following: For a corporation, an officer of the corporation or an incorporator if directors have not been selected, or the fiduciary if the corporation is in the hands of a receiver, trustee or other court-appointed fiduciary. A director is not empowered to sign. For a limited liability company, a member or manager. If the document is executed in Wisconsin, sec. 182.01(3) , Wis. Stats., provides that it shall not be filed unless the name of the drafter (either an individual or a governmental agency) is printed in a legible manner. If the document is not executed in Wisconsin, enter that remark. DFI/CORP/55(R11-10-08) 3 of 3