Free Microsoft Word - Document1 - Washington

Washington Nonprofit Corporation
See attached detailed instructions

No Fee for Standard Service Expedited Service $20.00

UBI Number:

ARTICLES OF DISSOLUTION
Chapter 24.03 RCW

A Washington State Department of Revenue Clearance Certificate Must Be Attached
SECTION 1
NAME OF CORPORATION: (as currently recorded with the Office of the Secretary of State)

SECTION 2
ARTICLES OF DISSOLUTION WERE ADOPTED BY: (please check and complete one of the following)



The dissolution was adopted by a meeting of members held: (Date) A quorum was present at the meeting and the amendment received at least two-thirds of the votes which members present or represented by proxy were entitled to cast. The dissolution was adopted by a consent in writing and signed by all members entitled to vote. There are no members that have voting rights. The dissolution received a majority vote of the directors at a board meeting held: (Date)

SECTION 3
Attached is a copy of a revenue clearance certificate issued by the Department of Revenue All debts, obligations, and liabilities of the corporation have been paid and discharged or adequate provision has been made thereof No suits are pending against the corporation in any court, or adequate provision has been made for the satisfaction of any judgment, order or decree which may be entered against it in any pending suit

SIGNATURE OF OFFICER: (see instructions page)
This document is hereby executed under penalties of perjury, and is, to the best of my knowledge, true and correct.

X __________________________________________________________________________ Signature Printed Name and Title of Officer Date Phone
Nonprofit Corporation - Dissolution Washington Secretary of State Revised 05/09

This Box For Office Use Only

Page 1 of 1

Instructions ­ Articles of Dissolution
Please complete all sections of the Articles of Dissolution. USE DARK INK ONLY. For an electronic, fillable version of this form, please visit our website at www.secstate.wa.gov/corps

Section 1:
Provide the nonprofit corporation name as currently recorded with the Office of the Secretary of State

Section 2:
Using one of the three choices offered in this section, indicate how the dissolution was adopted. If selecting either the first or third choice you must provide the date of adoption in the space provided.

Section 3:
Review each declaration for accuracy. The signer must be an officer (President, Vice President, Secretary or Treasurer).

Additional Information:

A Washington State Department of Revenue Clearance Certificate Must Be Attached.
This completed certificate must be obtained from the Department of Revenue prior to filing for dissolution. Not providing all required information may result in a rejection of the document and could create a delay in processing. The request for a revenue clearance certificate can be found at: http://www.secstate.wa.gov/corps/forms/appwthdrwlordissolcorpguaranty_e.pdf

Fees:
There is no fee for a standard filing of dissolution. If expedited service is requested, include a $20.00 check and write "EXPEDITE" on the outside of the envelope. Make the checks or money orders payable to "Secretary of State". (Expedite fees are non-refundable) Mail completed forms and payment to: Secretary of State Corporation Division 801 Capitol Way S PO Box 40234 Olympia WA 98504-0234 If you have questions, need assistance, or would like to provide feedback please visit the Corporations Division website at www.secstate.wa.gov/corps or call 360-725-0377.

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Nonprofit Corporation - Dissolution

Washington Secretary of State

Revised 05/09