CANCELLATION OF CERTIFICATE OF AUTHORITY OF FOREIGN LIMITED COOPERATIVE ASSOCIATION
Submit in Duplicate
John A. Gale, Secretary of State Room 1301 State Capitol, P.O. Box 94608 Lincoln, NE 68509 (402) 471-4079
http://www.sos.state.ne.us.
Name of Limited Cooperative Association _____________________________________________________________________
Organized under the laws of the State/Jurisdiction of _________________________
The company is no longer transacting business in the State of Nebraska and surrenders its authority to transact business in the state of Nebraska
____________________________________
Signature of Officer or Authorized Representative
___________________________________
Printed name of Officer or Authorized Representative
FILING FEE: For Profit $30.00 plus $5.00 per page for any additional pages Not for Profit $10.00 plus $5.00 per page for any additional pages
1/1/2008 Neb. Rev. Stat. 21-29,108