Commonwealth of Kentucky
A
L
G
, S
S
LISON
UNDERGAN
RIMES
ECRETARY OF
TATE
_________________________________________________________________________________________________________________________
Division of
Business Filings
Articles of Dissolution
DIS
Business Filings
(Profit Corporation)
PO Box 718
This form is to be used for dissolution by the Board of Directors or Shareholders.
Frankfort, KY 40602
(502) 564-3490
Please note: Filing this form with the Office of the Secretary of State does not ensure
the dissolution of the business entity is complete. Filers are encouraged to seek the
advice of a professional prior to filing Articles of Dissolution.
Pursuant to the provisions of KRS 14A and KRS 271B.14-030, the corporation listed below adopts the following articles of
dissolution:
Article I: The name of the profit corporation of record with the Office of the Secretary of State:
________________________________________________________________________________________________
(The name must be identical to the name on record with the Secretary of State.)
Article II: The dissolution was authorized on _____________________________________________________________
Article III: The dissolution was approved by
: (check only one)
____shareholder(s) or
____board of directors as outlined in 271B.14-030.
Article IV: If the dissolution was approved by the shareholder, the voting information is listed below:
a)
Number of votes entitled to be cast on proposal to dissolve. The total number of votes in favor of the
dissolution. _________________
b)
The number of votes cast for the dissolution ___________________.
c)
The number of votes cast against the dissolution________________.
d)
The total number of undisputed votes cast for dissolution._________.
e)
The number cast for dissolution was sufficient for approval.
Article V: If the dissolution was approved by voting group(s) the voting information is listed below:
a)
Number of votes entitled to be cast on proposal to dissolve. The total number of votes in favor of the
dissolution. _________________
b)
The number of votes cast for the dissolution ___________________.
c)
The number of votes cast against the dissolution________________.
d)
The total number of undisputed votes cast for dissolution._________.
e) The number cast for dissolution was sufficient for approval.
Article VI: T
his application will be effective upon filing, unless a delayed effective date and/or time is provided. The effective date or
the delayed effective date cannot be prior to the date the application is filed. The date and/or time is ___________________________.
)
(Delayed effective date and/or time
I declare under penalty of perjury under the laws of the state of Kentucky that the foregoing is true and correct.
_________________________________________________ _____________________________ _____________________ _______
Signature of Officer and Chairman of the Board
Printed Name
Title
Date
(01/12)