Closing Form - Charitable Activities Section - Oregon Department Of Justice
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1
2Charitable Activities Section
DOJ
Closing
Registration #:
Oregon Department of Justice
1515 SW 5th Avenue, Suite 410
VOICE (971) 673-1880
Form
Portland, OR 97201-5451
TTY
(503) 378-5938
E-Mail: charitable.activities@doj.state.or.us
FAX
(971) 673-1882
Web site:
Who Must File
This form is to be completed by Oregon public benefit and religious corporations. If your organization is a foreign corporation or a
trust, please contact the Department of Justice for special instructions on closing procedures.
Notice to the Attorney General
Oregon Revised Statute 65.627 requires a public benefit or religious corporation to provide written notice to the Attorney General of
their intent to dissolve at or before the time it delivers articles of dissolution to the Secretary of State. The notice shall include a copy
or summary of the plan of dissolution. No assets shall be transferred or conveyed as part of the dissolution process until 20
days after the required written notice has been given to the Attorney General or until the Attorney General has consented in
writing, or indicated in writing, that the Attorney General will take no action in respect to the transfer or conveyance, whichever is
earlier. When all or substantially all of the assets have been transferred or conveyed following approval of dissolution, the board shall
deliver to the Attorney General a list showing those, other than creditors, to whom the assets were transferred or conveyed.
Purpose of Form
This form is used to report to whom you intend to transfer or convey assets as part of your plan of dissolution, and/or to whom you
have already transferred or conveyed assets as part of your dissolution.
1.
Name
Write the corporation’s legal name.
__________________________________________________________________________________________________________
2.
Articles of Dissolution
Have you filed Articles of Dissolution with the Secretary of State?
Yes If yes, when were they filed?:__________________________________________________________________________
No
If no, please explain:_________________________________________________________________________________
3.
Disposition of Assets
List recipients and/or intended recipients of the corporation’s assets at dissolution (other than creditors). If necessary,
attach additional pages.
Recipient
Distributed yet?
Type of Asset
Value of Asset
Name:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Yes
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Address:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
No
Name:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Yes
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Address:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
No
Name:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Yes
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Address:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
No
Under penalties of perjury, I declare that I have examined this form, including any attachments, and to the best of my
Please
knowledge and belief, it is true, correct, and complete.
Sign
⇒
Here
_______________________________________________
________________________________________________
Signature
Address
_______________________________________________
________________________________________________
Printed name
City/State/Zip
_______________________________________________
________________________________________________
Title or Relationship to corporation
Phone
_______________________________________________
Date
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