Free 34471.FH11 - Indiana

ARTICLES OF DISSOLUTION OF A CORPORATION
State Form 34471 (R11 / 3-07) Approved by the State Board of Accounts, 2007 Indiana Code 23-1-45-3

TODD ROKITA SECRETARY OF STATE Mail to the following address: BUSINESS SERVICES DIVISION 302 W. Washington St., Room E018 Indianapolis, IN 46204 T elephone: (317) 232-6576

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INSTRUCTIONS: 1. 2. 3. 4.

Use 8 1/2" x 11" white paper for attachments. Present original and one copy to address in upper right corner of this form. Please TYPE or PRINT. Please visit our office on the web at www.sos.in.gov.

Filing Fee: $ 30.00 Make check or money order payable to Secretary of State

ARTICLES OF DISSOLUTION OF
Name of Corporation

The above corporation (hereinafter referred to as the "Corporation") desiring to give notice of corporate action authorizing and effectuating the dissolution of the Corporation pursuant to the provisions of the Indiana Business Corporation Law, sets forth the following:
ARTICLE I - NAME Name of Corporation Date of incorporation (month, day, year)

ARTICLE II - AUTHORIZATION

The date of dissolution was authorized pursuant to Indiana Code 23-1-45-2 _________________________________, 20_______.
ARTICLE III - VOTE OF SHAREHOLDERS VOTES CAST FOR OR AGAINST DISSOLUTION SHARES ENTITLED TO VOTE TOTAL SHARES ENTITLED TO VOTE AS A CLASS 3 1 2

SHARES VOTED IN FAVOR

SHARES VOTED AGAINST

The total number of votes cast for dissolution was sufficient for approval.

Yes

No

In Witness Whereof, the undersigned being the _____________________________________________________________________
Title

of the Corporation executes these Articles of Dissolution and verifies, subject to the penalties of perjury, that the statements contained herein are true, this _________ day of ________________________________, 20 __________.
Signature Printed name

NOTE:

Notice of Voluntary Dissolution must be filed with the following State agencies: The Unclaimed Property Section of the Attorney General of Indiana (IC 32-9-1-14); the Department of Revenue (IC 6-8.1-10-9); and the Indiana Department of Workforce Development (IC 22-4-32-23). Clearances from these agencies are no longer necessary, but are recommended to protect officers and directors from personal liability. Indiana Department of Workforce Development, Employer Audit Section Indiana Department of Revenue 10 N. Senate Ave. Enforcement Division / Dissolutions / MS-104 Indianapolis, IN 46204 Telephone: (317) 232-7436 100 N. Senate Ave. Rm. N241 Indianapolis, IN 46204 Telephone: (317) 233-0389 Indiana Attorney General, Unclaimed Property 35 South Park Blvd. Website: http://www.in.gov/dor/3776.htm Greenwood, IN 46143 Telephone: (800) 447-5598