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Sec. 185.71 Wis. Stats.

State of Wisconsin Department of Financial Institutions

ARTICLES OF DISSOLUTION - COOPERATIVE
A. The name of the cooperative is B. The cooperative's principal office or registered agent is in C. A resolution to dissolve the cooperative was adopted on county, WI. (date).

D. All liquidation proceedings have been completed in compliance with law, the articles of association, and the by-laws. E. The names and addresses of the persons (directors or others) constituting the committee having charge of liquidating the affairs of the cooperative are: Name and Address: Signature:

(date) Name and Address: Signature:

(date) Name and Address: Signature:

(date) Name and Address: Signature:

(date) Name and Address: Signature:

(date) This document was drafted by (Name of the individual who drafted the document)

FILING FEE - $5.00

See instructions, suggestions and procedures on the following page. DFI/CORP/210(R02/10/03) Use of this form is voluntary. 1 of 2

ARTICLES OF DISSOLUTION (Cooperative)



Your name, return address and phone number during the day: ( INSTRUCTIONS (Ref. sec. 185.71 (4) , Wis. Stats. for document content)

) ______ - __________

Submit two signed copies to Dept. of Financial Institutions, P O Box 7846, Madison WI, 53707-7846, together with two separate checks, one for the FILING FEE and the other for the county RECORDING FEE (see instructions below). Filing fee is non-refundable. (If sent by Express or Priority U.S. mail, address to 345 W. Washington Ave., 3rd Floor, Madison WI, 53703). Both copies must bear original manual signatures. NOTICE: This form may be used to accomplish a filing required or permitted by statute to be made with the department. Information requested may be used for secondary purposes. If you have any questions, please contact the Division of Corporate & Consumer Services at 608-261-7577. Hearing-impaired may call 608-266-8818 for TTY. This document can be made available in alternate formats upon request to qualifying individuals with disabilities. A. Enter the name of the cooperative. B. Provide the name of the county within which the cooperative has its principal office or its registered agent. C. Enter the date of adoption of the resolution of dissolution. D. This statement is an affirmation by the committee that the liquidation of the cooperation was accomplished in accordance with law, the articles of association of the cooperative, and its bylaws. E. Enter the name and business address of the persons (directors or others) constituting the committee having charge of liquidating the affairs of the cooperative. If the space provided is insufficient, schedule the additional persons on an attached page. The articles of dissolution are to be signed by at least a majority of the committee. If the document is executed in Wisconsin, sec. 182.01(3) provides that it shall not be filed unless the name of the person (individual) who drafted it is printed, typewritten or stamped thereon in a legible manner. If the document is not executed in Wisconsin, enter that remark. FILING FEE - $5.00. Make check payable to Department of Financial Institutions. RECORDING FEE - $ 15.00 for this standard form with no additional pages. If pages are added, add $2.00 more for each additional page. Make check payable to Register of Deeds, but submit the check to the Department of Financial Institutions with the document. The department will forward the check and a copy of the filed document to the Register of Deeds for recording. DFI/CORP/210I(R02/10/03) 2 of 2