Free Form - Nevada


File Size: 25.5 kB
Pages: 1
File Format: PDF
State: Nevada
Category: Secretary of State
Word Count: 153 Words, 980 Characters
Page Size: Letter (8 1/2" x 11")
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http://www.sos.state.nv.us/business/forms/omni/AM78.209Termination.pdf

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

Termination of Filing Pursuant to NRS 78.209
USE BLACK INK ONLY - DO NOT HIGHLIGHT ABOVE SPACE IS FOR OFFICE USE ONLY

Certificate of Termination of Filing Pursuant to NRS 78.209 1. Name of corporation:

2. Description of the certificate to be terminated:

3. Filing date of the original certificate with the Nevada Secretary of State: 4. Effective date, as specified, on the certificate: 5. Upon the filing of this certificate with the Nevada Secretary of State the effectiveness of the certificate has been terminated. 6. Signature: (required)

X
Signature of Officer

Filing Fee: $175.00
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 Stock Split Termination Revised: 3-6-09