ARTICLES OF DISSOLUTION BY DIRECTORS OR INCORPORATORS OF A NONPROFIT CORPORATION State Form 35228 (R7 / 4-12) / Corporate Form No. 107-A (1-88) Approved by State Board of Accounts, 1991 INSTRUCTIONS: Use 8 1/2" x 11" white paper for attachments. Present original and one (1) copy to address in upper right corner of this form. Please TYPE or PRINT. Please visit our office on the web at www.sos.in.gov. CONNIE LAWSON SECRETARY OF STATE CORPORATIONS DIVISION 302 W. Washington Street, Room E018 Indianapolis, Indiana 46204 Telephone: (317) 232-6576 FILING FEE: $30.00 Indiana Code 23-17-22-1 The undersigned, desiring to effectuate the dissolution of _______________________________________________________________________ (hereinafter referred to as the "Corporation"), existing pursuant to the provisions of the Indiana Nonprofit Corporation Law as amended, hereby certifies the following facts: 1. Date of Incorporation is (month, day, year): _______________________________________ ; 2. a. No membership in the Corporation has been issued; and / or b. The Corporation has not commenced business; 3. No debt of the Corporation remains unpaid; and 4. The majority of the incorporators or initial directors authorized the dissolution. In Witness Whereof, the undersigned incorporator(s) or initial Director(s) of the Corporation hereby executes this certificate and verifies, subject to penalties of perjury, that the statements contained herein are true this ______________ day of ___________________________ , 20 ________ . Signature Title (incorporator or Director) Printed name American LegalNet, Inc. www.FormsWorkFlow.com