Minnesota Domestic Profit Corporation Dissolution Shares Issued Form

This form allows for the cancellation of a Minnesota-based profit corporation. This form must be filed following the distribution of shares to the stockholders. To file, official agent must attach the $35.00 processing fee to the form and send it to this address: Download

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Office of the Minnesota Secretary of State 	
Minnesota Business Corporation | Articles of Dissolution 	
Minnesota Statutes, Chapter 302A.7291 or 302A.727  	
 
Read the instructions before completing this form.  
Filing Fee: $55 for expedited service in-person and online filings, $35 for mail
 
Articles of Dissolution filed under Minnesota Statutes, sections 302A.7291 or 302A.727 is used to dissolve a 
corporation that has issued shares. 
 
1.  Name of Corporation:   (Required) 
      
 
2.  Select one of the following: (Required) 
 	
 Articles of Dissolution are being filed pursuant to  Minnesota Statutes, section 302A.7291 for corporations that 
have NOT given notice to creditors and claimants.   
If Articles of Dissolution are being filed pursuant to subdivision 1, clause (1), that all known debts, 
obligations and liabilities of the corpor ation have been paid and discharged or that adequate provision has 
been made for payment or discharge.  The remaining pr operty, assets and claims of the corporation have been 
distributed among its shareholders in accordance with  section 302A.551, subd. 4, or that adequate provision 
has been made for that distribution.  There are no pending legal, administrative or arbitration proceedings by 
or against the corporation, or that adequate provision has been made for the satisfaction of any judgment, 
order or decree that may be entered against it in a pending proceeding. 
 Articles of Dissolution are being filed pursuant to  Minnesota Statutes, section 302A.727 for corporations that have 
given notice to creditors and claimants.         
List the last date on which the notice was given: (Required under 302A.727)  	
Pay ment of all creditors and claim
ants filing a claim
 within the 9 0
-	

day period stated in section 302A.727, 
subd.2, paragraph (e) has been made or provided for; or  the date on which the longest of the periods described 
in section 302A.727, subd. 3, paragraph (b) has expire d. The remaining property, assets and claims of the 
corporation have been distributed among its shareholde rs in accordance with section 302A.551, subd. 4, or 
adequate provision has been made for that distribution. There are no pending legal, administrative or 
arbitration proceedings by or against the corporati on commenced within the time provided in subdivision 3, 
paragraph (b), or that adequate provision has been made for the satisfaction of any judgment, order or decree 
that may be entered against it in a pending proceeding. 
 
3.  I, the undersigned, certify that I am signing this document 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 completed all re quired fields, and that the information in this document is 
true and correct and in compliance with the applicable ch apter 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 Number

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 in tended 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. 
 
Articles of Dissolution filed under  Minnesota Statutes, sections 302A.7291 or 302A.727 is used to dissolve a 
corporation that has issued shares and  must have filed or be accompanied by an ‘Intent to Dissolve’ filing. 
 
1.  Name of Corporation:  (Required) List the corporate name on file with the Office of the Secretary of State.  
 
2.  Select one of the following:  (Required) Check the applicable statute that the  Articles of Dissolution are being filed 
under.  If filing under Chapter 302A.727, provide the last date on which the notice was given. 
 
3.  Authorized Signature: (Required)  Must be signed by someone authorized by the corporation or by an 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 email 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
from requests fo r 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 unfiled.  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 Secretary of  State's Office does not discriminate on the basis of race, 
creed, color, sex, sexual orientation, national origin, ag e, marital status, disability, religion, reliance on public 
assistance or political opinions or affiliations in  employment or the provision of service. 
              
 
 	
                                             	DcdissolutonsharesissuedRev.6/1/2012