BCS/CD-532 (Rev. 04/11) MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS BUREAU OF COMMERCIAL SERVICES Date Received (FOR BUREAU USE ONLY) This document is effective on the date filed, unless a subsequent effective date within 90 days after received date is stated in the document. Name Address City State ZIP Code Effective Date: Document will be returned to the name and address you enter above. If left blank document will be mailed to the registered office. CERTIFICATE OF DISSOLUTION For use by Domestic Nonprofit Corporations (Please read information and instructions on reverse side) Pursuant to the provisions of Act 162, Public Acts of 1982 (nonprofit corporations), the undersigned corporation executes the following Certificate: 1. The name of the corporation is: 2. The identification number assigned by the Bureau is: 3. The corporation is dissolved pursuant to the following designated provisions appearing in its Articles of Incorporation: Signed this _______day of __________________, ______ By _______________________________________________________ (Signature of President, Vice-president, Chairperson or Vice Chairperson) _______________________________________________________ (Type or Print Name) (Type or Print Title) American LegalNet, Inc. www.FormsWorkFlow.com BCS/CD-532 (Rev. 04/11) Preparer's name ____________________________________ Business telephone number: ___________________________ INFORMATION AND INSTRUCTIONS 1. This form may be used to draft your Certificate of Dissolution to dissolve the corporation in accordance with a specific provision in its Articles of Incorporation. A document required or permitted to be filed under the act cannot be filed unless it contains the minimum information required by the act. The format provided contains minimal information required to make the document fileable and may not meet your needs. This is a legal document and agency staff cannot provide legal advice. 2. Submit one original of this document. Upon filing, the document will be added to the records of the Bureau of Commercial Services. The original will be returned to your registered office address, unless you enter a different address in the box on the front of this document. Since this Certificate will be maintained on electronic format, it is important that the filing be legible. Documents with poor black and white contrast, or otherwise illegible, will be rejected. 3. Item 2 - Enter the identification number assigned by the Bureau. If this number is unknown, leave it blank. 4. Within 60 days after submitting this certificate all corporations must request a tax clearance from the Michigan Department of Treasury, Tax Clearance Division, Lansing, Michigan 49822, (517) 636-5260. 5. All nonprofit corporations except churches must obtain consent to dissolution, or a written statement that consent is not required from the Michigan Attorney General, Consumer Protection and Charitable Trusts Division, P.O. Box 30214, Lansing, Michigan 48909, (517) 373-1152. Application form the consent sould be made at least 45 days before the desired effective date of the dissolution. This certificate cannot be filed unless it is accompanied by the consent or written statement. 6. This Certificate must be signed by: either the president, vice-president, chairperson or vice-chairperson. 7. NONREFUNDABLE FEE: Make remittance payable to the State of Michigan. Include corporation name and identification $10.00 number on check or money order To submit by mail: Michigan Department of Licensing and Regulatory Affairs Bureau of Commercial Services Corporation Division P.O. Box 30054 Lansing, MI 48909 To submit in person: 2501 Woodlake Circle Okemos, MI Telephone: (517) 241-6470 Fees may be paid by VISA or Mastercard when delivered in person to our office. MICH-ELF (Michigan Electronic Filing System): First Time Users: Call (517) 241-6470, or visit our website at http://www.michigan.gov/corporations Customer with MICH-ELF Filer Account: Send document to (517) 636-6437 LARA is an equal opportunity employer/program. Auxiliary aids, services and other reasonable accommodations are available upon reqeust to individuals with disabilities. American LegalNet, Inc. www.FormsWorkFlow.com Optional expedited service. Expedited review and filing, if fileable, is available for all documents for profit corporations, limited liability companies, limited partnerships and nonprofit corporations. The nonrefundable expedited service fee is in addition to the regular fees applicable to the specific document. Please complete a separate BCS/CD-272 form for expedited service for each document submitted in person, by mail or MICH-ELF. 24-hour service - $50 for formation documents and applications for certificate of authority. 24-hour service - $100 for any document concerning an existing entity. Same day service Same day - $100 for formation documents and applications for certificate of authority. Same day - $200 for any document concerning an existing entity. Review completed on day of receipt. Document and request for same day expedited service must be received by 1 p.m. EST OR EDT. Two hour - $500 Review completed within two hours on day of receipt. Document and request for two hour expedited service must be received by 3 p.m. EST OR EDT. One hour - $1000 Review completed within one hour on day of receipt. Document and request for 1 hour expedited service must be received by 4 p.m. EST OR EDT. First time MICH-ELF user requesting expedited service must obtain a MICH-ELF filer number prior to submitting a document for expedited service. BCS/CD-901. Changes to information on MICH-ELF user's account must be submitted before requesting expedited service. BCS/CD-901. Documents submitted by mail are delivered to a remote location for receipts processing and are then forwarded to the Corporation Division for review. Day of receipt for mailed expedited service requests is the day the Corporation Division receives the request. Rev. 5/10 American LegalNet, Inc. www.FormsWorkFlow.com