Free Microsoft Word - NP-ArticlesDissolution - Wyoming

Wyoming Secretary of State
State Capitol Building, Room 110 200 West 24th Street Cheyenne, WY 82002-0020 Ph. 307.777.7311 Fax 307.777.5339 Email: [email protected]

For Office Use Only

Nonprofit Corporation Articles of Dissolution
1. Corporation name:

2. Date dissolution was authorized:
(Date ­ mm/dd/yyyy)

3. Was the dissolution approved by a sufficient vote of the board of directors or incorporators? Yes No 4. Does the corporation have members? Yes No

If the answer to 4 is "No," skip to 5. If the answer to 4 is "Yes," please provide the following information: a. Is approval of the dissolution required by the members? Yes No

If the answer is no, was the dissolution approved by a sufficient vote of the board of directors or incorporators? Yes No b. If approval by members was required, the designation of classes of members:

c. Total number of memberships outstanding: d. Number of votes entitled to be cast by each class entitled to vote separately on dissolution and number of votes of each class indisputably voting on dissolution: Class: Votes Entitled: Class: Votes Entitled: Class: Votes Entitled:

Undisputed Votes Cast:

Undisputed Votes Cast:

Undisputed Votes Cast:

e. Record votes cast by each class under either (i) or (ii): (i) Number of votes cast for and against dissolution by each class entitled to vote separately on dissolution: Class: Votes For: Votes Against: Votes For: Votes Against: Votes For: Votes Against: OR (ii) Total number of undisputed votes cast for dissolution by each class: Class: Class: Class: Undisputed Votes Cast: Undisputed Votes Cast: Undisputed Votes Cast:

Class:

Class:

f. Was the number of votes cast for dissolution by each class sufficient for approval by that class? Yes No 5. Pursuant to W.S. 17-19-1402(a)(vi), was approval of dissolution required by anyone other than the members, the board of directors, or the incorporators? Yes No If the answer to 5 is "No," skip to 6. If the answer to 5 is "Yes," please answer a. a. Was such approval for dissolution obtained? Yes No

6. If the corporation is a public benefit or religious corporation, has the notice of intent to dissolve the corporation required by W.S. 17-19-1403(a) been given to the Wyoming Secretary of State? Yes No

Signature: ________________________________________________ (May be executed by the Chairman of the Board, President, or another of its officers.) Print Name: Title: Contact Person:

Date:

Daytime Phone Number: Email: Checklist Filing Fee: $10.00 Make check or money order payable to Wyoming Secretary of State. Please submit one originally signed document and one exact photocopy of the filing. Please review form prior to submitting to the Secretary of State to ensure all areas have been completed to avoid a delay in the processing of your documents.
NP-ArticlesDissolution - Revised 04/29/2009