Intent To Dissolve - Minnesota Secretary Of State Page 2
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1
2INSTRUCTIONS
PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK.
NOTE: This form is intended merely as a guide in filing the Intent to Dissolve for a Minnesota
corporation. It is not intended to cover all situations. If this form does not meet the specific needs and
requirements of the corporation, then the corporation should draft their own Intent to Dissolve filing.
1. Name of Corporation: (Required) List the corporate name on file with the Secretary of State's
office.
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 was 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.
4. Name, daytime telephone number and e-mail address of contact person for the corporation:
Please list the name, daytime telephone number, and e-mail address of a person who can be contacted
about this form.
To obtain a copy of a form you can go to our web site at
, or contact us between
9:00am to 4:00pm Monday through Friday at (651) 296-2803 or toll free at 1-877-551-6SOS (6767).
Filing Fee: $35.00 Payable to the MN Secretary of State
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 8:00 - 4:00, Monday - Friday, excluding holidays)
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, 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 or the provision of service.
r/bs/forms/bus10DCintenttodissolve/rev5-07
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