Free Fillable Certificate of Dissolution Form - New York

New York State Department of State Division of Corporations, State Records and Uniform Commercial Code One Commerce Plaza, 99 Washington Avenue Albany, NY 12231 www.dos.state.ny.us

CERTIFICATE OF DISSOLUTION OF
(Insert Name of Corporation)

Under Section 1003 of the Business Corporation Law

FIRST: The name of the corporation is:
If the name of the corporation has been changed, the name under which it was formed is:

SECOND: The certificate of incorporation was filed with the Department of State on:

THIRD: The name and address of each officer and director of the corporation is:

FOURTH: The corporation elects to dissolve.

DOS-1337 (Rev. 5/08)

FIFTH: (Check the statement that applies)
The dissolution was authorized at a meeting of shareholders by two-thirds of the votes of all outstanding shares entitled to vote. The dissolution was authorized at a meeting of shareholders by a majority of the votes of all outstanding shares entitled to vote. The dissolution was authorized by the unanimous written consent of the holders of all outstanding shares entitled to vote without a meeting.

X

(Print or Type Name of Signer) (Signature) (Print or Type Title of Signer)

CERTIFICATE OF DISSOLUTION OF
(Insert Name of Corporation)

Under Section 1003 of the Business Corporation Law
Filer's Name Address City, State and Zip Code

Note: This form was prepared by the New York State Department of State for filing a Certificate of Dissolution for a domestic business corporation. You are not required to use this form. You may draft your own form or use forms available at legal stationery stores. The Certificate of Dissolution must be signed by an officer, director, attorney-in-fact or duly authorized person. The consent of the State Tax Commission must be attached to the Certificate of Dissolution. The certificate must be accompanied by a $60 filing fee. The Department of State recommends that all legal documents be prepared under the guidance of an attorney. For DOS Use Only