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Dissolution By Written Consent DW - Kansas
| Dissolution By Written Consent Form. This is a Kansas form and can be used in For Profit Corporations Business Entities Secretary Of State . |
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DW 53-01 CONTACT: KANSAS SECRETARY OF STATE For-Profit Corporation Dissolution by Written Consent Kansas Office of the Secretary of State (785) 296-4564 kssos@sos.ks.gov www.sos.ks.gov Memorial Hall, 1st Floor 120 S.W. 10th Avenue Topeka, KS 66612-1594 Above space is for office use only. i All information must be completed or this document will not be accepted for filing. Please read instructions before completing. INSTRUCTIONS: 1. Business entity ID number: This is not the Federal Employer ID Number (FEIN) 2. Name of corporation: _______________________________________ Name must match the name on record with the Secretary of State ________________________________________________________________________________________ 1)______________________________________________________________________________________ Name 3. Name and mailing address of each officer: Do not leave blank If additional space is needed please provide an attachment _______________________________________________________________________________________ Mailing address Name City State Zip Country 2)______________________________________________________________________________________ __________________________________________________________________________________________ Mailing address Name City State Zip Country 3)_____________________________________________________________________________________ _______________________________________________________________________________________ _____________ Mailing address City State Zip Country 4. Name and mailing address of the board of directors: Do not leave blank If additional space is needed please provide an attachment 1) ______________________________________________________________________________________ Name _______________________________________________________________________________________ Mailing address Name City State Zip Country 2)______________________________________________________________________________________ __________________________________________________________________________________________ Mailing address Name City State Zip Country 3)_____________________________________________________________________________________ _______________________________________________________________________________________ _____________ Mailing address City State Zip Country Rev. 12/27/10 jdr Page 1 of 2 K.S.A. 17-6804 American LegalNet, Inc. www.FormsWorkFlow.com 5. All stockholders with voting power do hereby consent to the dissolution of the corporation: Stockholders' signatures ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ 6. Effective date: A future effective date must be within 90 days of filing date Upon filing Future effective date _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ ______________________________ Month Day Year 7. I, _______________________________________, declare under penalty of perjury under the laws of the state of Kansas, that I am an officer of the above-named corporation, that the above consent has been signed by or on behalf of ALL stockholders entitled to vote on the dissolution, that the foregoing is true and correct and that I have remitted the required fee. ________________________________________________________ Signature of secretary or other officer Name of signer (printed or typed) Name of officer ________________________________________________________ Date (month, day, year) ________________________________________________________ i Instructions: 1. If this form is submitted after the close of the entity's tax year, an annual report and fee must be filed along with or prior to dissolution. If the entity has forfeited, it must reinstate before dissolution. 2. Submit this form with the $35 filing fee. STAY UP-TO-DATE ON YOUR ORGANIZATION'S STATUS, ANNUAL REPORT DUE DATE AND CONTACT ADDRESSES BY GOING TO WWW.SOS.KS.GOV. UNDER QUICK LINKS, SELECT SEARCH BUSINESS ENTITY INFORMATION. There is a $25 service fee for all checks returned by your financial institution. All information must be completed or this document will not be accepted for filing. NOTICE: Rev. 12/27/10 jdr Page 2 of 2 K.S.A. 17-6804 American LegalNet, Inc. www.FormsWorkFlow.com
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