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For Office Use Only Wyoming Secretary of State 2020 Carey Avenue, Suite 700 Cheyenne, WY 82002-0020 Ph. 307.777.7311 Fax 307.777.5339 Email: Business@wyo.gov LLC-ArticlesDissolution - Revised October 2015 Limited Liability Company Articles of Dissolution 1.The name of the limited liability company is: 2.Certification. (Please check the box to complete the required certification.) I hereby certify that I am in compliance with W.S. 17-29-701, and I have met all requirements for dissolution and winding up as required in the Limited Liability Company Act. I further certify that I have the authority to complete the dissolution of this business entity. The limited liability company is now dissolved. Signature: Date: (Shall be executed by a person authorized by the company.) (mm/dd/yyyy) Print Name: Contact Person: Title: Daytime Phone Number: Email: (Email provided will receive filing evidence) *May list multiple email addresses Checklist Filing Fee: $50.00 Make check or money order payable to Wyoming Secretary of State. Please submit one originally signed document. Typical processing time is 3-5 business days following the date of receipt in our office. Please review form prior to submitting to the Secretary of State to ensure all areas have been completed to avoid a delay in the processing of your documents. American LegalNet, Inc. www.FormsWorkFlow.com