Articles Of Dissolution And Termination - Minnesota Secretary Of State Page 2

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INSTRUCTIONS FOR COMPLETING THIS FORM
PL EASE TYPE OR PRINT LEGIBLY IN BLACK INK
1. Corporate Name: (Required) List the corporate name on file with the Secretary of State's office.
2. Date of Organization: (Required) List the Date that the company filed Articles of Organization with
the Secretary of State’s office.
3. “No contributions have been accepted" means that no one has invested money in exchange for
becoming a member.
4. No debts remain unpaid by the Limited Liability Company.
5. Amendment is being filed pursuant to Minnesota Statutes, Chapter 322B.
6. Signature(s): (Required) The Articles of Dissolution and Termination must be signed by a majority of
the Organizers or Governors of the Limited Liability Company.
7. Name, daytime telephone number and e-mail address of contact person for the corporation:
Please list a name, daytime telephone number and an e-mail address of a person who can be contacted
about this form.
Filing Fee: $35.00 Payable to the MN Secretary of State
DELIVERY AND FILING METHODS
Walk in Service:
Mail to:
Our Public Service Counter is located in the
Minnesota Secretary of State
Minnesota State Retirement Building
Corporate Division
60 Empire Drive, Suite 100, St Paul, MN 55103
180 State Office Building
Expedited Service is provided only in person at our public
100 Rev Dr Martin Luther King Jr Blvd
counter for an additional $20.00 fee per transaction
St Paul, Minnesota 55155-1299
Counter hours are 8am to 4pm Monday thru Friday.
(No walk in service is available at this location)
To obtain a copy of a form you can go to our web site at
, dial into our fax library 24 hours a
day,or contact us between 9:00am to 4:00pm Monday through Friday at (651) 296-2803 or toll free 1-877-551-
6SOS (6767).
All of the information on this form is public and required in order to process this filing. Failure to provide the
requested information will prevent the Office from approving or further processing this filing. 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 communication, contact 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, age, marital status, disability, religion, reliance on public assistance
or political opinions or affiliations in employment of the provision of service.
Bus90ArtsofDiss&Term306

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