Reset Form Print Form District of Columbia Government Corporations Division Application for Certificate of Withdrawal for Foreign Cooperative Association FCO-2, Version 2, July 2010. Use this form (FCO-2) to withdraw Foreign Cooperative Association from the District of Columbia. ENTITY TYPE Foreign Cooperative Association FILING FEE Refer to Corporate Fee Schedule posted online. Under the provisions of the District of Columbia Official Code and the Cooperative Association Act, the cooperative association below hereby applies for a Certificate of Withdrawal and for that purpose submits the following statement: 1. Entity Name 2. Incorporated under the laws of which state or country 3. By signing this form, you affirm that the Cooperative Association is not conducting business in the District of Columbia and surrenders its authority to transact business in the District. 4. Main address of cooperative association 5. Select the corporate officer executing this form President Vice-President 7. Select corporate officer executing this form Secretary 6. Signature 8. Signature Assistant Secretary If you sign this application, you agree that you understand that anyone who makes a false statement anywhere on it can be punished by criminal penalties of a fine up to $1000, imprisonment up to 180 days, or both, under DCOC § 22-2405. Mail all forms and required payment to: Department of Consumer and Regulatory Affairs Corporations Division PO Box 92300 Washington, DC 20090 Phone: (202) 442-4400 Please check dcra.dc.gov to view organizations required to register, to search business names, to get step-by-step guidelines to register an organization, to search registered organizations, and to download forms and documents. Just click on "Corporate Registrations." American LegalNet, Inc. www.FormsWorkFlow.com