Certificate Of Dissolution {730}

CSCL/CD-730 (Rev. ) MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRSCORPORATIONS, SECURITIES & COMMERCIAL LICENSING BUREAU Date Received This document is effective on the date filed, unless asubsequent effective date within 90 days after receiveddate is stated in the document.EFFECTIVE DATE: NameAddressCityStateZIP Code Document will be returned to the name and address you enter above.If left blank, document will be returned to the registered office. CERTIFICATE OF DISSOLUTIONFor use by Limited Liability Companies(Please read information and instructions on last page)Pursuant to the provisions of Act 23, Public Acts of 1993, the undersigned limited liability company executes the following Certificate ofDissolution: 1.The name of the limited liability company is: 2.The identification number assigned by the Bureau is: This Certificate is hereby signed as required by Section 103 of the Act.3.The limited liability company has not commenced business, has not issued any membership interests, and has no debts orother liabilities.4.The limited liability company has not received any payments, or has returned any payments it has received after deductingany amount disbursed for payment of expenses, for subscriptions for its membership interests.5.A majority of the organizers of the limited liability company have approved the dissolution.Signed thisday of, (Signature of Member, Manager, or Authorized Agent)By(Type or Print Name and Capacity) American LegalNet, Inc. www.FormsWorkFlow.com Submit with check or money order by mail: Michigan Department of Licensing and Regulatory Affairs Corporations, Securities & Commerical Licensing Bureau Corporation Division P.O. Box 30054 Lansing, MI 48909To submit in person:2501 Woodlake CircleOkemos, MITelephone: (517) 241-6470 Fees may be paid by check, money order, VISAMasterard when delivered in person to our office. INFORMATION AND INSTRUCTIONS1.This form may be used to draft your Certificate of Dissolution. A document required or permitted to be filed under the actcannot be filed unless it contains the minimum information required by the act. The format provided contains only theminimal information required to make the document fileable and may not meet your needs. This is a legal document andagency staff cannot provide legal advice.Submit one original of this document. Upon filing, the document will be added to the records of the Corporations,Securities & Commercial Licensing Bureau. The original will be returned to your registered office address, unless youenter a different address in the box on the front of this document.3.Item 2 - Enter the identification number previously assigned by the Bureau. If this number is unknown, leave it blank.6.NONREFUNDABLE FEE: Make remittance payable to the State of Michigan. Include limited liability company name and identification number on check or money order..............................................................................................................$10.00 CSCL/CD-730 (Rev. )Preparer's NameBusiness telephone number( )5.This Certificate must be signed by a manager, if managed by one or more managers, a member if management remainsin the members, or an authorized agent of the company.4.A tax clearance from the Michigan Department of Treasury is not required for this form of dissolution.2.Since this document will be maintained on electronic format, it is important that the filing be legible. Documents with poorblack and white contrast, or otherwise illegible, will be rejected. LARA is an equal opportunity employer/program. Auxiliary aids, services and other reasonable accommodations are available uponrequest to individuals with disabilities. American LegalNet, Inc. www.FormsWorkFlow.com Optional expedited service.Expedited review and filing, if fileable, is available for all documents for profit corporations, limitedliability companies, limited partnerships and nonprofit corporations.The nonrefundable expedited service fee is in addition to the regular fees applicable to the specificdocument. Please complete a separate CSCL/CD-272 form for expedited service for each document submittedin person 24-hour service - $50 for formation documents and applications for certificate of authority.24-hour service - $100 for any document concerning an existing entity.Same day service Same day - $100 for formation documents and applications for certificate ofauthority.Same day - $200 for any document concerning an existing entity.Review completed on day of receipt. Document and request for same day expeditedservice must be received by 1 p.m. EST OR EDT.Two hour - $500Review completed within two hours on day of receipt. Document and request for two hourexpedited service must be received by 3 p.m. EST OR EDT.One hour - $1000Review completed within one hour on day of receipt. Document and request for 1 hourexpedited service must be received by 4 p.m. EST OR EDT.Documents submitted by mail are delivered to a remote location for receipts processing and arethen forwarded to the Corporation Division for review. Day of receipt for mailed expedited servicerequests is the day the Corporation Division receives the request. Rev. American LegalNet, Inc. www.FormsWorkFlow.com