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 Corporate Online Services Information: Many corporate filings are available by using CorpOnline Service. Go to CorpOnline site at https://corp.dcra.dc.gov , create the profile, access the online services main page and proceed. Online filers must pay by using the credit card. District of Columbia Government Corporations Division Statement of Dissolution for Domestic Limited Liability Company Form DLC - 8 , Ver. 4 , April 2018 . Use this form to dissolve domestic limited liability company. This dissolution has no effect on entity obligations so It is organization responsibility to ensure compliance in those areas . ENTITY TYPE / AUTHORITY FILING F E E Domestic Limited Liability Company : 247 29 807.02. Refer to Corporate Fee Schedule posted online. Under the provisions of the Title 29 of D.C. Code (Business Organizations Act), the domestic filing entity listed below hereby applies for Certificate of Dissolution and for that purpose submits the statement below. 1 .1. Name of Limited Liability Company . 2 . Date of issuance of initial certificate of organization. 3 . Limited Liability Company shall discharge the company's debts, obligations, or other liabilities, settle and close the compan y's activities, and marshal and distribute the assets of the company. 4.Limited Liability Company is dissolved. 5 . Effective Date. If you sign this form you agree that anyone who makes a false statement can be punished by criminal penalties of a fine up to $1000, imprisonment up to 180 days, or both, under DCOC 247 22 - 2405; 6 .Name of the Governor or Authorized Person. 6 A. Signature of the Governor or Authorized Person. American LegalNet, Inc. www.FormsWorkFlow.com