Free Form - Nevada

ROSS MILLER Secretary of State 204 North Carson Street, Suite 1 Carson City, Nevada 89701-4520 (775) 684 5708 Website: www.nvsos.gov

Nonprofit Dissolution
(PURSUANT TO NRS 82.451)
USE BLACK INK ONLY - DO NOT HIGHLIGHT ABOVE SPACE IS FOR OFFICE USE ONLY

Certificate of Dissolution For a Nevada Nonprofit Corporation Voluntary Dissolution by Directors and Members or by Directors Alone; Directors to Act as Trustees For Liquidation and Winding Up of Corporate Affairs (Pursuant to NRS 82.451)

1. Name of corporation:

2. Names and addresses, either residence or business, of the president, secretary, and treasurer, or the equivalent thereof, and all directors of the corporation (attach a plain 8 1/2" x 11" sheet to list additional directors):
President or Equivalent Address

Secretary or Equivalent

Address

Treasurer or Equivalent

Address

Director

Address

Director

Address

3. Officer Signature:
I declare that a resolution to dissolve the above named corporation has been adopted by the board of directors and by any superior organization whose approval is required by a provision of the articles authorized by NRS 82.091. If there are members entitled to vote to take action upon the resolution to dissolve, the undersigned further declare that the resolution has been adopted by a majority of all the voting power.

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Signature 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 82.451 Nonprofit Dissolution Revised: 3-12-09