COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : STATE OF ALABAMA Index No. DOMESTIC NON-PROFIT CORPORATION : Calendar No. STATEMENT OF INTENT TO DISSOLVE & ARTICLES OF DISSOLUTION GUIDELINES : INSTRUCTIONS: (PLEASE TYPE) JUDICIAL SUBPOENA Plaintiff(s) STEP 1: FILE ORIGINAL AND TWO COPIES WITH THE JUDGE OF PROBATE IN THE COUNTY WHERE THE NON-PROFIT CORPORATION'S ARTICLES OF INCORPORATION WERE FILED. ATTACH SECRETARY OF STATE AND JUDGE OF PROBATE FEES. THE JUDGE OF PROBATE'S COMBINED FILING FEE -against: IS $10. THE SECRETARY OF STATE'S FILING FEE IS $0 FOR THE STATEMENT OF INTENT TO DISSOLVE & $5 FOR THE ARTICLES OF DISSOLUTION. : PURSUANT TO 10-3A-140, CODE OF ALABAMA, 1975, THE UNDERSIGNED NON-PROFIT CORPORATION SUBMITS THE FOLLOWING STATEMENT OF INTENT TO DISSOLVE. Statement I The name of the corporation: : Defendant(s) : ... . . . . . . . names . . . . . . . . . . the officers. Statement .II. . . . Attach .the . . . . . . &. addresses .of . . . . . . . . . . . . . . . . . . . . Statement III Statement IV Attach the names & addresses of the directors. If the members are entitled to vote, attach a statement setting forth the date of the meeting of members at which a resolution to dissolve was adopted THE PEOPLE OF THE STATE OF NEW YORK with a quorum present and at least a two-thirds vote. OR Attach a statement that such resolution was adopted by written consent of all members entitled to vote. TO Statement V If there are no members or no members are entitled to vote, attach a statement of this fact, stating the date of the Board of Directors meeting at which the resolution was adopted and that the resolution was adopted by a majority vote of the directors. GREETINGS: __________________________________________ _______________________________________ WE COMMAND YOU, that __President or __Vice President (Check one) all business and excuses being laid aside, Assistanteach of you attendone) __Secretary or __ you and Secretary (Check before , the Honorable at the Court located at County of PURSUANT TO 10-3A-144, CODE OF ALABAMA, 1975, THE UNDERSIGNED NON-PROFIT CORPORATION SUBMITS THE FOLLOWING ARTICLES OF DISSOLUTION. in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Article 1 The name of the corporation: Article II The statement comply with this the corporation is being as a contempt of court and will make Dissolution Your failure toof Intent to Dissolvesubpoena is punishablefiled simultaneously with these Articles ofyou liable to the party with the Judge of Probate of _____________County on _________, 20___. and all damages sustained as a on whose behalf this subpoena was issued for a maximum penalty of $50 result of your failure to comply. Article III All debts, obligations, and liabilities of the corporation have been paid and discharged or that adequate provisions have been made therefor. Witness, Honorable , one of the Justices of the day of , 20 Article Court in All remainingCounty, and assets of the corporation have been transferred, conveyed or distributed in IV property accordance with the provisions of this chapter. Article V There are no suits pending against the corporation in any court and adequate provision has been made (Attorney for the satisfaction of any judgement, order or decree which maymustentered against it name below) be sign above and type in any pending suit. ___________________________________________ __President or __Vice President (Check one) _________________________________________ __Secretary Attorney(s) for or __Assistant Secretary (Check one) I, ____________________________________, a notary public in and for said State, do hereby certify that _________________________________________ personally appeared before me, who being duly sworn, declared that he/she Office and P.O. Address is the __________________________ of the above named Alabama nonprofit corporation, that he/she executed the foregoing document on behalf of the corporation and that the statements contained therein are true and correct, this _____________day of ____________________________, 20_____. ____________________________________________ Date Rev. 4/2000 Telephone No.: Facsimile No.: ________________________________________ E-Mail Address: Mobile Tel. No.: Signature of Notary/Commission Expiration American LegalNet, Inc. www.USCourtForms.com