Free VA-3.RTF - West Virginia

Natalie E. Tennant Secretary of State State Capitol Bldg. 1900 Kanawha Blvd. East Charleston, WV 25305
FILE ONE ORIGINAL FILING FEE IS $25 (Send two originals if you want a filed copy returned to you)

Penney Barker, Manager Corporations Division
Tel. (304) 558-8000 Fax 304-558-8381

Hrs. 8:30am ­ 5:00pm ET www.wvsos.com

ARTICLES OF DISSOLUTION OF A VOLUNTARY ASSOCIATION

The members of the Voluntary Association adopt and file the following Articles of Dissolution for the purpose of dissolving the Voluntary Association, according to the provisions of the West Virginia Code. 1. 2. 3. The name of the voluntary association is: The date the dissolution was authorized: The mailing address to which correspondence relating to this matter should be addressed is:

No. & Street 4.

City, State and Zip

By checking the box below you are attesting that the following statement is true. The proposal to dissolve was duly approved by the members in the manner required by the West Virginia Code.

5.

Name and phone number of contact person. (this is optional, however, if there is a problem with the filing, listing a contact person may avoid having to return or reject the document)

Contact Name 7. Print Name of Signer: Signature: Title/Capacity of Signer: Date:
PRINT THIS COPY, THEN CLICK HERE TO RESET.

Phone Number

Form VA-3

Issued by the Secretary of State, State Capitol, Charleston, WV 25305

Revised 1/09

INSTRUCTIONS FOR FILING ARTICLES OF DISSOLUTION OF A WEST VIRGINIA VOLUNTARY ASSOCIATION

Dissolution of a Voluntary Association in West Virginia requires several steps and may take some time. The process will go more quickly if the association's members take care of all liabilities first, including filing any tax or employment reports and paying any outstanding taxes, assessments or penalties to the State of West Virginia. File with the Secretary of State one original signed application, or if you would like a filed copy returned to you, submit two applications. The application needs to be signed by a member of the association who has signature authority. Filing fee is $25 and you should make check payable to the West Virginia Secretary of State. Contact the following agencies to determine if the corporation has any reports, taxes or other payments outstanding, and complete any required filings. Ø State Tax Department Ø Workers' Compensation Ø Dept. of Employment Security 304-558-0640 304-926-3400 304-558-2675

The Secretary of State will request, in writing, clearances from the three state departments listed above. When those clearances are received in writing, a certificate of dissolution will be prepared and mailed to the address given on the Articles of Dissolution.

IF YOU NEED ADDITIONAL INFORMATION CONCERNING FILING FOR A VOLUNTARY DISSOLUTION FOR YOUR COMPANY, PLEASE CONTACT OUR OFFICE AT 304-558-8000.

Form VA-3

Issued by the WV Secretary of State, State Capitol, Charleston, WV 25305

Revised 1/09