Instructions for completing Form CD 414 Important Please Read. A dissolved limited liability company may file a statement of commencement of winding up with the Secretary of State. Form CD 414 may be used for this purpose. Use of this form is optional. A certificate of termination may also be drafted pursuant O.C.G.A. 14-11-606. Form CD 414 is not intended to replace competent legal counsel. Secretary of State staff is not authorized to provide legal counsel or explain the steps necessary are strongly urged to obtain professional legal, tax and or business advice to assure filers goals and intentions are met, that requirements of the law are satisfied, and that members and managers are protected even after termination of the organization. Article One Name of the company Provide the name of the company. Article Two Statement that the limited liability company has dissolved and commenced its winding up activities. Signature The statement of commencement of winding up must be signed by a member, a manager, an organizer if the LLC has no members or managers, a court-appointed fiduciary, or an attorney-in-fact. The signer must state the capacity in which he or she is signing. Print the name of the signer. There is no fee for filing a statement of commencement of winding up. Please mail or deliver the completed form to: Corporations Division, 2 Martin Luther King Jr. Dr. SE, Suite 313 West Tower, Atlanta, Georgia 30334. American LegalNet, Inc. www.FormsWorkFlow.com Secretary of State OFFICE OF SECRETARY OF STATE CORPOR A TIONS DIVISION 2 Martin Luther King Jr. Dr. SE Suite 313 West Tower Atlanta, Georgia 30334 (404) 656 - 2817 sos.georgia.gov/corporations Statement of Commencement of Winding Up Article One The name of the limited liability company is: . Article Two The limited liability company has dissolved and commenced its winding up activities. IN WITNESS WHEREOF , the undersigned has executed this Statement of Commencement of Winding Up on . (Date) Signature Print Name Capacity (choose one option only): Organizer Member Manager Court - Appointed Fiduciary Attorney - in - f act Email Address: Form CD 41 4 ( Rev. 10/2018 ) American LegalNet, Inc. www.FormsWorkFlow.com