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Certificate Of Dissolution By Members Or Directors 560 - Ohio
| Certificate Of Dissolution By Members Or Directors Form. This is a Ohio form and can be used in Corporations Secretary Of State . |
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Form 560 Prescribed by the: Ohio Secretary of State Central Ohio: (614) 466-3910 Toll Free: (877) SOS-FILE (767-3453) www.OhioSecretaryofState.gov Busserv@OhioSecretaryofState.gov Mail this form to one of the following: Regular Filing (non expedite) P.O. Box 1329 Columbus, OH 43216 Expedite Filing (Two-business day processing time requires an additional $100.00). P.O. Box 1390 Columbus, OH 43216 Certificate of Dissolution (Nonprofit, Domestic Corporation) Filing Fee: $50 (139-DISM (Members) & 175-DIST (Directors)) Complete the following information. The corporation named below has adopted a resolution of dissolution. Name of Corporation Charter Number Location of Principal Office in Ohio Ohio City County State Names and addresses of the directors. Name Address Name Address Name Address Form 560 Page 1 of 5 Last Revised: 3/16/12 American LegalNet, Inc. www.FormsWorkFlow.com Names and addresses of the officers. Name Address Name Address Name Address Name and address of the Statutory Agent. Name Address Ohio City State Zip Code Please complete this section if the corporation is appointing a new agent. ACCEPTANCE OF APPOINTMENT The Undersigned, Statutory Agent Name ,named herein as the Statutory agent for, Corporation Name hereby acknowledges and accepts the appointment of statutory agent for said corporation. Statutory Agent Signature Individual Agent's Signature/Signature on behalf of Corporate Agent If the agent is an individual using a P.O. Box, check this box to confirm the agent is an Ohio resident. The date of dissolution if other than the filing date MM/DD/YYYY Note: The date of dissolution must be on the date of filing, or a later date that is not more than 90 days after the date of filing, pursuant to Ohio Revised Code section 1702.47(H). Form 560 Page 2 of 5 Last Revised: 3/16/12 American LegalNet, Inc. www.FormsWorkFlow.com Check the appropriate box and provide information as required: The resolution of dissolution was adopted by the Directors. Pursuant to Ohio Revised Code section 1702.47(C), directors may adopt a resolution in the following cases, please check the box to state the proper statement of the basis for the adoption. The resolution of dissolution was adopted: When the corporation has been adjudged bankrupt or has made a general assignment for the benefit of the creditors; By leave of the court, when a receiver has been appointed in a general creditor's suit or in any suit in which the affairs of the corporation are to be wound up; When substantially all of the assets have been sold at judicial sale or otherwise; or When the period of existence of the corporation specified in its articles has expired. The resolution of dissolution was adopted by the Members pursuant to Ohio Revised Code section 1702.47(D). By signing and submitting this form to the Ohio Secretary of State, the undersigned hereby certifies that he or she has the requisite authority to execute this document. Required Must be signed by an authorized officer, unless the officer fails to execute and file the certificate within 30 days after the adoption of the resolution, or upon any date specified in the resolution as the date upon which the certificate is to be filed, or upon the expiration of any period specified in the resolution as the period within which the certificate is to be filed, whichever is latest, in which event the certificate of dissolution may be signed by any three voting members and shall set forth a statement that the persons signing the certificate are voting members and are filing the certificate because of the failure of the officers to do so. Signature By (if applicable) Print Name Signature If authorized representative is an individual, then they must sign in the "signature" box and print their name in the "Print Name" box. By (if applicable) If authorized representative is a business entity, not an individual, then please print the business name in the "signature" box, an authorized representative of the business entity must sign in the "By" box and print their name in the "Print Name" box. Print Name Signature By (if applicable) Print Name Form 560 Page 3 of 5 Last Revised: 3/16/12 American LegalNet, Inc. www.FormsWorkFlow.com Complete the information in this section. AFFIDAVIT In lieu of dissolution releases from various governmental authorities for a Nonprofit Corporation, (ORC section 1702.47(G)(5)). Name of Corporation The undersigned, being first duly sworn, declares that on the dates indicated below, each of the named state governmental agencies was advised IN WRITING of the scheduled date of filing of the Certificate of Dissolution and was advised IN WRITING of the acknowledgement by the corporation of the applicability of the provisions of section 1702.47 of the ORC. Agency Ohio Department of Taxation Dissolution Section 4485 Northland Ridge Blvd. Columbus, Ohio 43229 Date Notified Agency Ohio Job & Family Services Status and Liability Section Data Correspondence Control Fax: 614-752-4811 Phone: 614-466-2319 Overnight: P.O. Box 182413 Columbus, OH 43218-2413 Treasurer The treasurer of any county named below: Regular: P.O. Box 182413 Columbus, OH 43218-2413 Date Notified Date Notified Note: This affidavit must be signed by a person executing the certificate of dissolution or by an officer of the corporation. Signature Title Name Mailing Address City Acknowledged before me and subscribed in my presence on Date Seal State Zip Code Commission Expires Notary Public Date Form 560 Page 4 of 5 Last Revised: 3/16/12 American LegalNet, Inc. www.FormsWorkFlow.com Complete the information in this section. AFFIDAVIT OF PERSONAL PROPERTY State of County of SS: Name of Officer , being first duly sworn, deposes and says that she/he is of Title of Officer Name of Corporation and this affidavit is made in compliance with section That said corporation has: (Check one (1) of the following) A. No personal property in any county in the State of Ohio B. Personal property in the following county(ies) of the Ohio Revised Code. and that the net assets of said corporation are sufficient to pay all personal property taxes accrued to date. C. corporation is of the type required to pay personal property taxes to state authorities only Signature: Title: Acknowledged before me and subscribed in my presence on Date Seal Notary Public Expiration date of Notary Public's Commission Date Form 560 Page 5 of 5 Last Revised: 3/16/12 American LegalNet, Inc. www.FormsWorkFlow.com Instructions for
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