Form Corp. 60a - Articles Of Termination Form For A Nonprofit Corporation, Form 943 - Request For Tax Clearance

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This form is designed to be filled out online for your convenience.
Please read the instructions carefully. Complete the necessary
information, print, sign and mail.
State of Missouri
Robin Carnahan, Secretary of State
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Corporations Division
PO Box 778 / 600 W. Main St., Rm. 322
Jefferson City, MO 65102
Articles of Termination
For a Nonprofit Corporation
(Submit with filing fee of $10.00 and Certificate of Tax Clearance issued by the Missouri Department of Revenue)
The undersigned corporation, for the purpose of terminating, hereby executes the following Articles of Termination:
1. The name of corporation is
Charter #:
2. On
the corporation filed Articles of Dissolution with the Secretary of State.
month/day/year
3. The corporation has disposed of all claims filed against it pursuant to Chapter 355.
4. All debts, obligations and liabilities of the corporation have been paid and discharged, or adequate provision has been made therefor.
5. The effective date of this document is the date it is filed by the Secretary of State of Missouri unless a future date is otherwise indicated:
(Date may not be more than 90 days after the filing date in this Office)
In Affirmation thereof, the facts stated above are true and correct:
(The undersigned understands that false statements made in this filing are subject to the penalties provided under Section 575.040, RSMo)
Authorized signature of officer or chairman of the board
Printed Name
Title
Date
Name and address to return filed document:
Name:
Address:
City, State, and Zip Code:
Corp. 60A (09/2010)

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