SECRETARY OF THE STATE OF CONNECTICUT MAILING ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, P.O. BOX 150470, HARTFORD, CT 06115-0470 DELIVERY ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, 30 TRINITY STREET, HARTFORD, CT 06106 PHONE: 860-509-6003 WEBSITE: www.concord-sots.ct.gov CERTIFICATE OF DISSOLUTION NONSTOCK CORPORATION USE INK. COMPLETE ALL SECTIONS. PRINT OR TYPE. ATTACH 81/2 X 11 SHEETS IF NECESSARY. FILING PARTY (CONFIRMATION WILL BE SENT TO THIS ADDRESS): NAME: ADDRESS: FOR OFFICIAL USE ONLY: CITY: STATE: ZIP: 1. NAME OF CORPORATION: 2. DATE ON WHICH DISSOLUTION WAS AUTHORIZED: 3. PLACE A CHECK MARK IN BLOCK (A), (B) OR (C): (A)The dissolution was authorized by approval of a majority of incorporators or initial directors. No debt of the corporation remains unpaid. The corporation has no member entitled to vote. The corporation has not commenced the activities for which it was incorporated. The net assets of the corporation remaining after winding up have been distributed as required by C.G.S. Sections 33-1000 to 33-1290. (B)The proposal to dissolve was duly approved by the members in the manner required by sections 33-1000 to 33-1290 of the Connecticut General Statutes, and by the Certificate of Incorporation. (C) The dissolution was authorized by resolution adopted by the board of directors. The corporation has no members, or no members entitled to vote upon dissolution. 4. EXECUTION: (SUBJECT TO PENALTY OF FALSE STATEMENT) DATED THIS NAME OF SIGNATORY DAY OF CAPACITY/TITLE OF SIGNATORY , 20 SIGNATURE PAGE 1 OF 1 FORM CDRN-1-1.0 Rev. 7/2015 American LegalNet, Inc. www.FormsWorkFlow.com INSTRUCTIONS FOR COMPLETION OF CERTIFICATE OF DISSOLUTION NONSTOCK CORPORATION A Connecticut nonstock corporation may be dissolved by incorporators, initial directors, members or directors. Please consult The Connecticut Revised Nonstock Corporation Act to determine which of these methods are appropriate for your corporation. Any questions concerning completion of this form or the dissolution process in general should be directed to the Corporation's own legal counsel. After the necessary corporate action has been taken to authorize the dissolution, a Certificate of Dissolution must be filed with the Secretary of the State. Following dissolution, the affairs of the corporation must be wound up in the manner provided in The Connecticut Revised Nonstock Corporation Act. INSTRUCTIONS 1. NAME OF CORPORATION: Please provide the full name of the corporation as it currently appears on the records of the Secretary of the State. 2. DATE DISSOLUTION WAS AUTHORIZED: Please provide the month, day and year on which the directors/members authorized the dissolution of the corporation. 3. COMPLETE APPROPRIATE BLOCK - (A), (B) or (C) (A) Check selection (A) if the dissolution was authorized by a majority of the corporation's initial directors or incorporators. (B) Check selection (B) if the dissolution was approved by members in the manner required by sections 33-1000 to 33-1290, inclusive, of the Connecticut General Statutes. (C) Check selection (C) if the dissolution was authorized by resolution adopted by the board of directors and the corporation has no members, or no members entitled to vote upon dissolution. 4. EXECUTION: The document must be executed by an authorized official of the corporation. That person must print or type their name, state the capacity under which they sign and provide a signature. The execution constitutes a legal statement under the penalties of false statement that the information provided in the document is true. OFFICE OF THE SECRETARY OF THE STATE MAILING ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, P.O. BOX 150470, HARTFORD, CT 06115-0470 DELIVERY ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, 30 TRINITY STREET, HARTFORD, CT 06106 PHONE: 860-509-6003 WEBSITE: www.concord-sots.ct.gov INSTRUCTIONS DO NOT SCAN THIS PAGE FORM CDRN-1-1.0 Rev. 7/2015 American LegalNet, Inc. www.FormsWorkFlow.com