Articles of Dissolution - NonprofitSecretary of State - Corporation Division - 255 Capitol St. NE, Suite 151 - Salem, OR 97310-1327 - sos.oregon.gov/business - Phone: (503) 986-2200 In accordance with Oregon Revised Statute 192.410-192.490, the information on this application is public record.We must release this information to all parties upon request and it will be posted on our website.For office use only REGISTRY NUMBER:Please Type or Print Legibly in Black Ink. Attach Additional Sheet if Necessary.1. ENTITY NAME:2.DATE DISSOLUTION WAS AUTHORIZED: 5.EXECUTION: I declare as an authorized signer, under penalty of perjury, that this document does not fraudulently conceal, obscure, alter, orotherwise misrepresent the identity of any person including officers, directors, employees, members, managers or agents.240 This filing has been examined by me and is, to the best of my knowledge and belief, true, correct and complete.240 Making false statements in this document is against the law and may be penalized by fines, imprisonment, or both. Signature: Printed Name: Title: CONTACT NAME: (To resolve questions with this filing) PHONE NUMBER: (Include area code)FEESRequired Processing Fee $50 Processing Fees are nonrefundable. Please make check payable to "Corporation Division".Free copies are available at sos.oregon.gov/business using the Business Name Search program. Articles of Dissolution - Nonprofit (11/17) 3.CHECK THE APPROPRIATE STATEMENT:The vote was as follows: Class(es) entitled to vote Number of membersNumber of votes entitledNumber of votes castNumber of votes cast entitled to voteto be castFORAGAINST The dissolution was approved by a sufficient vote of the board. Approval of members was not required and dissolution was approved by a sufficient vote of the board of directors Membership approval was required.or incorporators.4.NOTICE OF DISSOLUTION: (Public benefit and religious corporations)By submission of this form to the Corporation Division, you are acknowledging that notice of dissolution has also been sent to the(For more information, see: http://www.doj.state.or.us/charigroup/pages/howtoclose.aspx)Charitable Activities Section of the Attorney General. American LegalNet, Inc. www.FormsWorkFlow.com