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BUSINESS REGISTRATION DIVISION P.O. BOX 29622 RALEIGH, NC 27626-0622 (Revised August 2017) (Form N-06) State of North Carolina Department of the Secretary of State ARTICLES OF DISSOLUTION BY DIRECTORS, MEMBERS, AND THIRD PERSONS FOR NONPROFIT CORPORATION Pursuant to 24755A-14-04 of the General Statutes of North Carolina, the undersigned corporation hereby submits the following Articles of Dissolution for the purpose of dissolving the corporation. 1. The name of the corporation is: 2. The names, titles, and addresses of the officers of the corporation are: Name Title Address 3. The names and addresses of the directors of the corporation are: Name Address 4. Attached is the plan of dissolution as required by N.C.G.S. 24755A-14-03. 5. The dissolution of the corporation was authorized on the day of , 20. 6. (Check a, b, and/or, c, as applicable.) a. Approval of members was not required for the dissolution, and the plan of dissolution was approved by a sufficient vote of the board of directors. b. Approval of the members was required for the dissolution, and the plan of dissolution was approved as required by Chapter 55A of the North Carolina General Statutes. c. Approval of the dissolution by some person or persons other than the members or the board of directors was required pursuant to N.C.G.S. 24755A-14-02(a)(3), and such approval was obtained. 7. These articles will be effective upon filing, unless a delayed date and/or time is specified:. This theday of , 20. Name of Corporation Signature Type or Print Name and Title Notes: 1. Filing Fee is $15.00. 2. This document must be filed with the Secretary of State. American LegalNet, Inc. www.FormsWorkFlow.com
