Free Form - Nevada

ROSS MILLER Secretary of State 204 North Carson Street, Suite 1 Carson City, Nevada 89701-4520 Website: www.nvsos.gov

Nonprofit Dissolution
(PURSUANT TO NRS 82.446)

USE BLACK INK ONLY - DO NOT HIGHLIGHT

ABOVE SPACE IS FOR OFFICE USE ONLY

Certificate of Dissolution For a Nevada Nonprofit Corporation Voluntary Dissolution at Request of Members (Pursuant to NRS 82.446) 1. Name of corporation:

2. A corporation may be dissolved and its affairs wound up voluntarily by the written request of a majority of the members of any person or superior organization whose approval is required by a provision of the articles authorized by NRS 82.091. The request must be set forth in the following format: a) Be addressed to the directors. b) Specify reasons why the winding up of affairs of the corporation is deemed advisable. c) Name three persons who are members to act as trustees in liquidation and in winding up of the affairs of the corporation. The act of a majority of the directors as trustees remaining in office is the act of the directors as trustees. A copy of said request as described above must accompany this form. 3. Signature of authorized officer:

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Signature of Officer

Title

Date

FILING FEE: $50.00
IMPORTANT: Failure to include any of the above information and submit with the proper fees may cause this filing to be rejected.
This form must be accompanied by appropriate fees.

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Nevada Secretary of State 82.446 Nonprofit Dissolution Revised: 3-12-09