STATE OF DELAWARE
CERTIFICATE OF DISSOLUTION
The corporation organized and existing under the General Corporation Law of the
State of Delaware.
DOES HEREBY CERTIFY AS FOLLOWS:
The dissolution of said _______________________________________________
__________________________________________________________________
has been duly authorized by all the stockholders of the Corporation entitled to
vote on a dissolution in accordance with subsection (c) of Section 275 of the
General Corporation Law of the State of Delaware.
The date the dissolution was authorized is ________________________________.
The following is a list of the names and addresses of the directors of the said
corporation:
NAME ADDRESS
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
The following is a list of the names and addresses of the officers of the said
corporation:
NAME OFFICE ADDRESS
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
By:____________________________________
Authorized Officer
Name:
Print or Type
Title:____________________________________
____________________________________