Articles Of Dissolution Of A Voluntary Association (Domestic) {VA-3}

FILE ONE ORIGINAL (Two if you want a filedstamped copy returned to you)FEE: $25.00 - Expedite service not available for this type of filing.**** The members of the Voluntary Association adopt and file the following Articles of Dissolution for **** the purpose of dissolving the Voluntary Association, according to the provisions of the WV Code. 1.The name of the voluntary association is:2.The date the dissolution was authorized:3.The mailing address to which the Secretary of State may mail a copy of any notice of legal processagainst the association: No. & StreetCity, State and Zip4.By checking the box below you are attesting that the following statement is true.The proposal to dissolve was duly approved by the trustees in the manner required by the West Virginia Code. 5.Contact name and number of person to reach in case of problem with filing: (Optional, however,listing one may help avoid return or rejection of filing if there appears to be a problem.)Name: Phone:Business e-mail address, if any:6.Signature (See below *Important Legal Notice Regarding Signature ): SignatureDateTitle / Capacity in which he/she is signing(example: President, Chairman, etc.)*Important Legal Notice Regarding Signature : Per West Virginia Code24731D-1-129 . Penalty for signing false document.Any person who signs a document he or she knows is false in any material respect and knows that the document is to be delivered to the secretary of state for filing is guilty of a misdemeanor and, upon conviction thereof, shall be fined not more than one thousand dollars or confined in the county or regional jail not more than one year, or both. Form VA-3 Rev. 11/2017ARTICLES OF DISSOLUTION OF A VOLUNTARY ASSOCIATIONWest Virginia Secretary of State Business & Licensing Division Tel: (304)558-8000 Fax: (304)558-8381 Website: www.wvsos.gov INSTRUCTIONS FOR FILING A CERTIFICATE OF DISSOLUTION OF A WV VOLUNTARY ASSOCIATION Dissolution of a Voluntary Association in West Virginia requires several steps and may take some time. The process will go more quickly if the association takes care of all liabilities first, including filing any tax or employment reports and paying any outstanding taxes, assessments or penalties to the State of West Virginia. Filing fee is $25 and you should make checks payable to the West Virginia Secretary of State. The Secretary of State will request, in writing, clearances from the West Virginia State Tax Department, Employer Coverage Unit (Workers Compensation) and Department of Employment Security. After those clearances have been received in writing by our office, which may take as long as two years, a Certificate of Dissolution will be prepared and mailed to the address entered on the Articles of Dissolution by the West Virginia Secretary of State. You will be held liable for all taxes, fees, penalties, interest, etc. until clearances are obtained from all departments and divisions listed above. FILING THE ARTICLES 226 ONE ORIGINAL REQUIRED 226 AND PAYING THE FEE Send an additional original if you want a filed copy returned to you Registration fee: $25$15 per certified copy: + Total Fee:= Make your checks payable to West Virginia Secretary of State. IF YOU NEED ADDITIONAL INFORMATION CONCERNING FILING FOR A VOLUNTARY DISSOLUTION FOR YOUR COMPANY, PLEASE CONTACT OUR OFFICE AT 304-558-8000. Due to the nature of the dissolution process, expedited service is not available for this filing. THE FOLLOWING PROCESSING SERVICE IS AVAILABLE FOR THIS TYPE OF FILING: 1 STANDARD PROCESSING (5-10 business days) West Virginia Secretary of State Business & Licensing Division Tel: (304) 558-8000 Fax: (304) 558-8381 Website: www.wvsos.gov Filing Submission Instructions - Business DivisionSUBMIT THE COMPLETED APPLICATION WITH THE CUSTOMER ORDER REQUEST FORM TO ONE OF THE OFFICES BELOW. CHOOSE STANDARD PROCESSING SERVICE.BUSINESS SERVICE CENTERS Standard and Expedited Filings Charleston Office One-Stop Business Center 1615 Washington Street East Charleston, WV 25311 Phone: (304) 558-8000 Fax: (304) 558-8381 Hours: Mon. - Fri. 8:30a - 5:00p EST Clarksburg Office North Central WV Business Center 200 West Main Street Clarksburg, WV 26301 Phone: (304) 367-2775 Fax: (304) 627-2243 Hours: Mon. -Fri. 9:00a - 5:00p EST Martinsburg Office Eastern Panhandle Business Center 229 E. Martin Street Martinsburg, WV 25401 Phone: TBA Fax: TBA Hours: Mon. - Fri. 9:00a - 5:00p ESTIMPORTANT: READ ALL INSTRUCTIONS CAREFULLY BEFORE COMPLETING FORMS. Please follow the instructions included with the application. Failure to include any of the required information on the form may cause the filing to be rejected.All forms may be downloaded from our web site www.wvsos.gov . Rev. 6/2018 SUBMIT COMPLETED FILING TO ONE OF THE BUSINESS CENTERS BELOW: INCLUDE PAYMENT: Be sure to enclose the correct filing fee with your filing. If paying by credit card, be sure to include the e-Payment Authorization form with your filing. Your filing will be rejected if the payment is not included or if the e-Payment Authorization form is not included if paying by credit card. Standard filing fees apply.STANDARD PROCESSING requests may be submitted by: - E-mail to CorpFilings@wvsos.gov - Fax - Walk in delivery (drop off service only filed within 5-10 business days) West Virginia Secretary of State Business & Licensing Division Tel: (304)558-8000 Fax: (304)558-8381 Website: www.wvsos.gov E-mail: CorpFilings@wvsos.gov Customer Order RequestSUBMIT THIS COMPLETED FORM WITH YOUR FILING. Order Processing Requested*: Standard Processing* Name of Entity: Return filing to: (Return Address) Contact Name: Phone: Return Delivery Options: Email or Fax options do not receive a copy via mail; must be ordered separately. Email to: Fax to: Hold for Pick Up UPS: Acct # Other (explain below): FedEx: Acct # Mail to Return Address above Order Description (include items being ordered and fee breakdown): *PLEASE NOTE: Original paperwork is kept by this office. Include a copy of the original filing ifyou want a file stamped copy returned to you at no extra charge. Certified copy requests are an additional $15 per certified copy being requested. Total Amount: Payment Method: Cash (Do Not mail cash) Pre-paid Acct #: Credit Card (Must attach e-Payment Authorization request form including payment information.) Check/Money Order(Avg. processing turnaround 5-10 business days)Rev. 11/2017*"Processing" indicates the filing will be completed and registered in the Secretary of State registration database.Attach signed pre-paid slip. e-Payment Authorization Credit Card Number: Card Type: Service Type: Fax Mail E-mail Visa Mastercard Discover American Express Payment Information Storage Authorization Year: Entity Name: Name as it appears on the account Billing Address City State Zip Code Telephone Ext.I authorize the Secretary of State to store this payment information for future payment transactions processed by Secretary of State: Authorized Signature X (required) (optional) DateThis document contains confidential financial information and will be properly shredded after payment has been processed by this office. Electronic storage of payment information is only permitted by signed authorization below which may be retracted at any time by written request by the authorized party.Not to Exceed Amount: USD $ Date Month: V Code**3-digit number on back of VISA, MasterCard and Discover cards.4-digit number on front right side of American Express card.NOTICE: For security and verification purposes, all credit card payments must include the 3- or 4-digit CVV2 code (V Code) number located on the credit card. Failure to include this code will result in the rejection of your filing or service request.Rev. 11/2017West Virginia Secretary of State Business & Licensing Division Tel: (304)558-8000 Fax: (304)558-8381 Website: www.wvsos.govUSE BLACK INK ONLY - DO NOT HIGHLIGHT Payment by Card (card holder name and billing address required below) Credit Card Expiration Date: Amount to Charge Card: USD $ Order Information (required) Card Holder Information: Payment Authorization I authorize the Secretary of State to bill an amount not to exceed the following to be charged t