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 AND TRANSFER OF PROPERTY ECCLESIASTICAL SOCIETY 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: THE UNDERSIGNED HEREBY CERTIFIES THAT 1. AT A MEETING OF ECCLESIASTICAL SOCIETY BE DISSOLVED 2. THE AFOREMENTIONED MEETING OF MEMBERS WAS HELD ON AT (MO./DAY/YR.), AN ECCLESIASTICAL SOCIETY WITHIN THE MEANING OF THE CONNECTICUT GENERAL STATUTES, IT WAS VOTED THAT SAID , WAS WARNED AND HELD FOR THE PURPOSE OF VOTING ON THE DISSOLUTION OF SAID ECCLESIASTICAL SOCIETY AND THE VOTE TO DISSOLVE WAS THE AFFIRMATIVE VOTE OF TWO-THIRDS (2/3) OF THOSE MEMBERS PRESENT. 3. THE PROPERTY OF SAID ECCLESIASTICAL SOCIETY, HELD IN TRUST OR OTHERWISE, HAS BEEN DULY TRANSFERRED IN ACCORDANCE WITH THE CONNECTICUT GENERAL STATUTES. 4. THE UNDERSIGNED IS THE PERSON AUTHORIZED BY SAID ECCLESIASTICAL SOCIETY TO EXECUTE THIS CERTIFICATE. DATED AT THIS DAY OF NAME & TITLE (CLERK, SECRETARY OR OTHER OFFICER) [PLEASE TYPE OR BLOCK PRINT] SIGNATURE RESIDENCE ADDRESS: (P.O.BOX UNACCEPTABLE) ADDRESS: CITY: STATE: ZIP: PAGE 1 OF 2 FORM CDRN-1-1.0 Rev. 7/2015 American LegalNet, Inc. www.FormsWorkFlow.com STATE OF CONNECTICUT) ) COUNTY OF ) , NAME TITLE , OF PERSONALLY APPEARED SS: NAME OF RELIGIOUS SOCIETY OR CORPORATION AND MADE OATH TO THE TRUTH OF THE ABOVE CERTIFICATE. NOTARY OR COMMISSIONER OF THE SUPERIOR COURT PAGE 2 OF 2 FORM CDRN-1-1.0 Rev. 7/2015 American LegalNet, Inc. www.FormsWorkFlow.com