Free $10.00 - Alaska

Department of Commerce, Community, and Economic Development Corporations, Business and Professional Licensing CORPORATIONS SECTION PO Box 110808 Juneau AK 99811-0808

CERTIFICATE OF ELECTION TO DISSOLVE
Business, Professional or Cooperative Corporation
1. Name of the corporation: Alaska Entity #:

2. The names, addresses, and titles of the officers and directors: Title President Vice President Secretary Treasurer Director Director Director Name Mailing Address City State ZIP Code

If necessary, attach a list of additional officers, directors, shareholders, and alien affiliates on a separate 8½" x 11" sheet of paper. 3. The corporation has elected to wind up and dissolve. Complete appropriate section:
4. The election to dissolve was approved by the shareholders by : (Check only one box below)

Election. The number of shares voting for the election was _______________, which represents at least 2/3 of the shareholders entitled to vote. The corporation's shareholders by written consent. A copy of the consent signed by all of the shareholders of the corporation must be attached. --- or --5. The election was approved by the board of directors with one of the following statements: (Check only one

box below) A statement that there are no shares issued, or A statement that the corporation was disposed of all of its assets and has not conducted any business for the past five years, or A statement that the corporation has been adjudicated bankrupt.

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6. The certificate must be an officers' certificate or shall be signed by at least a majority of the directors then in office, by one or more shareholders authorized to do so by the shareholders holding shares representing 50 percent or more of the voting power, or by the officer or shareholder designated in the written consent.

Signed this _______ day of _________________________ , 20 _____. Signature Printed Name Title

Attach additional pages if necessary. If you have specific legal questions or concerns about this filing, you are strongly advised to consult an attorney or other professional to assist you. Mail the completed filing and the $10.00 filing fee (in U.S. dollars) to: State of Alaska Corporations Section PO Box 110808 Juneau, AK 99811 For additional information or forms please visit our web site at: www.corporations.alaska.gov

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