D The Commonwealth of Massachusetts William Francis Galvin Secretary of the Commonwealth PC One Ashburton Place, Boston, Massachusetts 02108-1512 FORM MUST BE TYPED Articles of Voluntary Dissolution FORM MUST BE TYPED (General Laws Chapter 156D, Section 14.03; 950 CMR 113.41) (1) Exact name of corporation: ___________________________________________________________________________ (2) Registered o ce address: _____________________________________________________________________________ (number, street, city or town, state, zip code) (3) Date authorized: ____________________________________________________________________________________ (month, day, year) (4-5) Approved by: (check appropriate box) the shareholders as required by G.L. Chapter 156D, Section 14.02. h e total number of votes entitled to be cast on the proposal to dissolv _____________________________________e ; (number entitled to vote) with_____________________ votes for and _____________________ votes against the dissolution proposal; or (number for dissolution) (number against dissolution) _________________________ undisputed votes for dissolution; and the number cast was su cient for approval. (number of undisputed votes) If voting by groups was required on the dissolution proposal, attach an additional sheet that states the total number of votes entitled to be cast by each voting group; and either the total number of votes cast for and against dissolution by each voting group; or the total of undisputed votes cast for dissolution by each group; and a statement that the number cast for dissolution was su cient for approval. OR a method or procedure speci? ed in the articles of organization pursuant to G.L. Chapter 156D, Section 14.02. Attach an additional sheet to set forth such method or procedure, together with su cient information to establish that the corporation has complied therewith. (6) h e dissolution of the corporation shall be e ) ective at the time and on the date approved by the Division, unless a latere ) ec- tive date not more than 90 days from the date and time of ? ling is speci? ______________________________________ ed: American LegalNet, Inc. www.USCourtForms.com P.C. c156ds1403950c11341 01/13/05>>>> 2Signed by: ___________________________________________________________________________________________, (signature of authorized individual) Chairman of the board of directors, President, Other o cer, Court-appointed ? duciary, on this _________________________day ofday ofday of__________________________________________________________________________________, _____________________. American LegalNet, Inc. www.USCourtForms.com>>>> 3 COMMONWEALTH OF MASSACHUSETTS William Francis Galvin Secretary of the Commonwealth One Ashburton Place, Boston, Massachusetts 02108-1512 Articles of Voluntary Dissolution (General Laws Chapter 156D, Section 14.03; 950 CMR 113.41) I hereby certify that upon examination of these articles of voluntary dissolution, duly submitted to me, it appears that the provisions of the General Laws relative to the organization of corporations have been complied with, and I hereby approve said articles; and the ? ling fee in the amount of $ __________________________ having been paid, said articles are deemed to have been ? led with me this _____________day ofday ofday of __________________________________, 20 ______, at_________a.m./p.m. time E ) ective date: _________________________________________________ (must be within 90 days of date submitted) Examiner WILLIAM FRANCIS GALVIN Secretary of the Commonwealth #A.R. Filing fee: $100 TO BE FILLED IN BY CORPORATION Contact Information: ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ Telephone: ___________________________________________________ Email: ______________________________________________________ Upon ? ling, a copy of this ? ling will be available at www.sec.state.ma.us/cor. If the document is rejected, a copy of the rejection sheet and rejected document will be available in the rejected queue. American LegalNet, Inc. www.USCourtForms.com