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Certificate Of Dissolution (Not-For-Profit) DOS-1561-f-l - New York
| Certificate Of Dissolution (Not-For-Profit) Form. This is a New York form and can be used in Not For Profit Corporations And Business Entities Secretary Of State . |
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New York State Department of State Division of Corporations, State Records and Uniform Commercial Code One Commerce Plaza, 99 Washington Avenue Albany, NY 12231 www.dos.ny.us CERTIFICATE OF DISSOLUTION OF (Insert Name of Corporation) Under Section 1003 of the Not-for-Profit Corporation Law FIRST: The name of the corporation is: If the name of the corporation has been changed, the name under which it was formed is: SECOND: The certificate of incorporation was filed with the Department of State on: THIRD: The name and address of each officer and director of the corporation is: FOURTH: At the time of dissolution, the corporation is a Type corporation. (A,B,C or D) FIFTH: At the time of authorization of the corporation's Plan of Dissolution and Distribution of Assets as provided in Not-for-Profit Corporation Law ยง1002, the corporation holds: (Check the appropriate statement) Assets which are legally required to be used for a particular purpose. No assets which are legally required to be used for a particular purpose. SIXTH: The corporation elects to dissolve. SEVENTH: The dissolution was authorized by: (Check the appropriate statement) A vote of a majority of the board of directors. The corporation has no members. The majority vote of the board of directors, followed by two-thirds vote of the members. DOS-1561-f-l (Rev. 02/12) Page 1 of 3 American LegalNet, Inc. www.FormsWorkFlow.com EIGHTH: (Check the appropriate statement) The Plan of Dissolution and Distribution of Assets has been approved by a Justice of the Supreme Court. A copy of the Court's order is attached hereto. A copy of the plan of dissolution which contains the statement prescribed by paragraph (b) of section 1001 of the Not-for-Profit Corporation Law has been duly filed with the Attorney General. The corporation is a Type A corporation and has no assets at the time of dissolution legally required to be used for a particular purpose. X (Signature) (Print or Type Name of Signer) (Print or Type Title of Signer) DOS-1561-f-l (Rev. 02/12) Page 2 of 3 American LegalNet, Inc. www.FormsWorkFlow.com CERTIFICATE OF DISSOLUTION OF (Insert Name of Corporation) Under Section 1003 of the Not-for-Profit Corporation Law Filer's Name: Address: City, State and Zip Code: NOTES: 1. The name of the corporation and its date of incorporation must be exactly as they appear on the records of the Department of State. This information should be verified on the Department of State's website at www.dos.ny.gov. 2. This certificate must be signed by an officer, director or duly authorized person. 3. Attach the consent of the NYS Department of Taxation and Finance. 4. Attach the consent of the New York City Department of Finance, if required. 5. Consent of the Attorney General is required for all Type B, C and D corporations and Type A corporations that holds assets at the time of dissolution legally required to be used for a particular purpose. 6. Attach any other consent or approval required by law. 7. The fee for filing this certificate is $30, made payable to the Department of State. For DOS Use Only DOS-1561-f-l (Rev. 02/12) Page 3 of 3 American LegalNet, Inc. www.FormsWorkFlow.com
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