F0103 - Page 1 of 2
OFFICE OF THE MISSISSIPPI SECRETARY OF STATE
P.O. BOX 136, JACKSON, MS 39205-0136 (601) 359-1633
*0103-1-2*
1. Name of Limited Liability Company
Mississippi LLC Certificate of Dissolution or Cancellation
The undersigned, pursuant to Senate Bill No. 2395, Chapter 402, Laws of 1994, hereby executes the following Certificate of Dissolution or Cancellation and sets forth:
2. The reason for filing the certificate of (Complete and mark appropriate box)
dissolution
cancellation is
3. The future effective date of (Complete and mark appropriate box)
dissolution
cancellation is
4. Any other information the members or managers determine to include
By:
Signature
(Please keep writing within blocks)
Printed Name Street and Mailing Address Physical Address P.O. Box City, State, ZIP5, ZIP4
Title
-
Rev. 01/96
F0103 - Page 2 of 2
OFFICE OF THE MISSISSIPPI SECRETARY OF STATE
P.O. BOX 136, JACKSON, MS 39205-0136 (601) 359-1633
*0103-2-2*
By: Signature
Mississippi LLC Certificate of Dissolution or Cancellation
(Please keep writing within blocks)
Printed Name Street and Mailing Address Physical Address P.O. Box City, State, ZIP5, ZIP4
Title
-
Rev. 01/96