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Massachusetts Corporation Articles of Voluntary Dissolution Form

In the case of a corporation wanting to terminate its operations and legal existence in the State of Massachusetts, the Massachusetts Corporation Articles of Voluntary Dissolution Form has to be completed and submitted along with a $100 filing fee.

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FORM MUST BE TYPEDFORM MUST BE TYPED	
The Commonwealth of Massachusetts	
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Boston, Massachusetts 02108-1512	
c156ds1403950c11341 	01/13/05	P.C.
D
PC	
Articles of Voluntary Dissolution	
(General Laws Chapter 156D, Section 14.03; 950 CMR 113.41)	
(1)  Exact name of corporation:	  ___________________________________________________________________________	
(2)  Registered offi  ce address:	  _____________________________________________________________________________	
  (number, street, city or town, state, zip code)
(3) Date authorized:	 ____________________________________________________________________________________	
  (month, day, year)
(4-5) Approved by:
  (check appropriate box)	
®  the shareholders as required by G.L. Chapter 156D, Section 14.02.
  Th  e total number of votes entitled to be cast on the proposal to dissolve	  _____________________________________	;	
  (number entitled to vote)	
  with_____________________ votes for and _____________________ votes against the dissolution proposal; or 	
 (number for dissolution)  (number against dissolution)
  _________________________ undisputed votes for dissolution; and the number cast was suffi  cient for approval.
  (number of undisputed votes)	
  If voting by groups was required on the dissolution proposal, attach an additional sheet that states the total number of 	
votes entitled to be cast by each voting group; and either the total number of votes cast for and against dissolution by 
each voting group; or the total of undisputed votes cast for dissolution by each group; and a statement that the number 
cast for dissolution was suffi  cient for approval.	
OR 	
®  a method or procedure specifi ed in the articles of organization pursuant to G.L. Chapter 156D, Section 14.02.  
  Attach an additional sheet to set forth such method or procedure, together with suffi  cient information to establish that 	
the corporation has complied therewith.	
(6)  Th  e dissolution of the corporation shall be eff ective at the time and on the date approved by the Division, unless a later	eff ec-	
tive date not more than 90 days from the date and time of fi ling is specifi ed:	 ______________________________________

Signed by:
	  ___________________________________________________________________________________________
	,
	
 (signature of authorized individual)
	
®
  Chairman of the board of directors,

®
  President,

®
  Other offi  cer,

®
  Court-appointed fi duciary,
	
on this
	  _________________________
	day of
	_________________________________________
	day of	_________________________________________	day of
	, 
 _____________________
	.

Examiner

#A.R.
	
COMMONWEALTH OF MASSACHUSETTS
	
William Francis Galvin

Secretary of the Commonwealth
	
One Ashburton Place, Boston, Massachusetts 02108-1512
	
Articles of Voluntary Dissolution
	
(General Laws Chapter 156D, Section 14.03; 950 CMR 113.41)
	
I hereby certify that upon examination of these articles of voluntary dissolution, 

duly submitted to me, it appears that the provisions of the General Laws relative to 

the organization of corporations have been complied with, and I hereby approve 

said articles; and the fi ling fee in the amount of $
	 __________________________
	
having been paid, said articles are deemed to have been fi led with me this

_____________
	day of
	 _________________
	day of	 _________________	day of
	, 20
	 ______
	, at
	_________
	a.m./p.m.
	
 time

Eff ective date:
	 _________________________________________________
	
 (must be within 90 days of date submitted)
	
WILLIAM FRANCIS GALVIN
	
Secretary of the Commonwealth
	
Filing fee:  $100
	
TO BE FILLED IN BY CORPORATION
	
Contact Information:
	
___________________________________________________________

___________________________________________________________

___________________________________________________________

Telephone:
	 ___________________________________________________
	
Email:
	  ______________________________________________________
	
Upon fi ling, a copy of this fi ling will be available at www.sec.state.ma.us/cor.

If the document is rejected, a copy of the rejection sheet and rejected document will 

be available in the rejected queue.
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