Minnesota Domestic Corporation Intent to Dissolve Form

This form serves as a basic filing guide and must not be expected to cover all corporation dissolution situations. Applicants are encouraged to keep the original signed copy of this form for records purposes.Download

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Office of the Minnesota Secretary of State    	
Minnesota Business Corporation | Intent to Dissolve 	
Minnesota Statutes, Chapter 302A.721 	
 	
Read the instructions before completing this form.  
 
Filing Fee:  $55 for expedited service in-person and online filings, $35 if submitted by mail	
 	
1.  Name of Corporation:  (Required) 
      
 
 
2.  The requisite vote of the shareholders approving the resolution to 

commence dissolution was approved, or the 
requisite shareholders entitled to  vote signed a written action. 
 
Check and Complete One of the Following Options:   (Required) 
        	
Date and Place of Shareholders’ Meeting 	
   
  
              
  (Date  of shareholders’ me
eting) 
    	

  
  (List the place where the shareholders’ meeting was held) 	
 
OR 
 	
Approved by Written Action                                                                 
      (Date Intent to Dissolve was signed)        	
 
3.  I, the undersigned, certify that I am signing this docu
m	

ent as the person whose signature is required, or as agent 
of the person(s) whose signature would  be required who has authorized me to sign this document on his/her behalf, 
or in both capacities.  I further certify that I have comple ted all required fields, and that the information in this 
document is true and correct and in compliance with the applicable chapter of Minnesota Statutes.  I understand that 
by signing this document I am subject to the penalties of perjury as set forth in Section 609.48 as if I had signed this 
document under oath. 
             
Signature of Authorized Person or Authorized Agent                             Date 
 	
Email Address for Official Notices 
Enter an email address to which the Secretary  	

of State can forward official notices required by law and other notices:
   
 
      
 
  Check here to have your email address excluded from requests for bulk data, to the extent allowed by 
Minnesota law. 
 
List a name and daytime phone number of a p erson who can be contacted about this form: 
 
        	
Contact Name   
       
   
  Phone Num
ber  	

   	
DCintentToDissolveRev.6/1/2012

INSTRUCTIONS 	
 
File your business document online by visiting our website at  www.sos.state.mn.us	
.   
 
This form is intended merely as a guide for filing and is not intended to cover all situations.  Retain the original 
signed copy of this document for your records and submit a legible photocopy for filing with the Office of the 
Secretary of State. 
 
Note:  Filing the Intent to Dissolve DO ES NOT dissolve the corporation.  It provides notice that the company is in 
the process of dissolving.  In order to complete the dissolution you need to file Articles of Dissolution under 
Minnesota Statutes, sections 302A.7291 or 302A.727. 
 
1.  Name of Corporation:  (Required) List the corporate name on file with the Office of the Secretary of State.  
2.  Check and Complete One of the Following Options:   (Required) Select one of the following options for filing 
the Intent to Dissolve.  If a shareholder’s meeting w as held, check and complete the date and place of the 
shareholder’s meeting.  If the Intent to Dissolve was approved by an unanimous written action, check and complete 
the date that the Intent to Dissolve was signed.  
3.  Authorized Signature: (Required)  Must be signed by someone authorized by the corporation or Authorized 
Agent (The signing party must indicate on the document that they are acting as the agent of the person(s) 
whose signature would be required and that they have been authorized  to sign on behalf of that person(s). 
 
Email Address for Official Notices.   This em	
 ail address may be used to send annual renewal reminders and other
important notices that may require action or response.  Check the box if you wish to have your email address
excluded fro m requests for bulk data, to the extent allowed by Minnesota law. 
 
List a name and daytime telephone number of a person who can be contacted about this form. 
 
Filing Fee:  $55 for expedited service in-person and online filings, $35 if submitted by mail 
Payable to the MN Secreta	
 ry of State 
 
Please submit all items together and mail to the address below: 
 
FILE IN-PERSON OR MAIL TO: 
Minnesota Secretary of State - Business Services  
Retirement Systems of Minnesota Building  60 Empire Drive, Suite 100 
St Paul, MN  55103 
(Staffed 8 a.m. – 4 p.m., Monday - Friday, excluding holidays) 
Phone Lines:  (9 a.m. - 4 p.m., M-F)  Metro Area 651-296-2803; Greater MN 1-877-551-6767 
 
All of the information on this form is public.  Minnesota  law requires certain information to be provided for this 
type of filing.  If that information is not included, your document may be returned unf iled.  This document can be 
made available in alternative formats,  such as large print, Braille or audio tape, by calling (651)296-2803/voice.  For 
a TTY/TTD (deaf and hard of hearing) communication, c ontact the Minnesota Relay Service at 1-800-627-3529 and 
ask them to place a call to (651)296-2803.  The Secretar y of State's Office does not discriminate on the basis of 
race, creed, color, sex, sexual orientation, national origin,  age, marital status, disability, religion, reliance on public 
assistance or political opinions or affiliations in  employment or the provision of service.