Intent To Dissolve - Minnesota Secretary Of State
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2For your convenience, this form has
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online. You must have Acrobat
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be sure to select "Print" at the bottom
STATE OF MINNESOTA
of the screen to capture your data
entry for printing. After printing, sign
SECRETARY OF STATE
and send applicable fees as
INTENT TO DISSOLVE
required.Note: Selecting "Reset" will
Minnesota Statutes, Chapter 302A.721
clear all data entry from this page. To
print a blank form, go to File->Print.
Filing Fee: $35.00
READ THE INSTRUCTIONS BEFORE COMPLETING THIS FORM
1. Name of Corporation: (Required)
____________________________________________________________________________________
The requisite vote of the shareholders approving the resolution to commence dissolution
was approved.
2. Check and Complete One of the Following Options: (Required)
_____Date and Place of Shareholders’ Meeting______________________________________
(Date of shareholders’ meeting)
______________________________________________________________________________
(List the place where the shareholders’ meeting was held)
OR
_____Done by Unanimous Written Action _________________________________________
(Date Intent to Dissolve was signed)
I certify that the foregoing is true and accurate and that I have the authority to sign this
document, and I further certify that 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 reservation under
oath.
3. Authorized Signature: (Required)
__________________________________________________________________________________
4. Name, daytime telephone number and e-mail address of contact person for the corporation:
Name: ______________________________________ Phone: (______)_________________________
E-Mail Address: _____________________________________________________________________
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