Articles of Dissolution Form (Vermont profit T11A)

Vermont Secretary of State, 128 State Street, Montpelier, VT 05633-1101. Phone: 802-828-2386; Fax: 802-828-2853

 Name of corporation 

 DATE of Incorporation:  DATE dissolution was authorized:

Answer all questions below:

     Dissolution is authorized by INCORPORATORS or INITIAL DIRECTORS
     Dissolution is authorized by the DIRECTORS and SHAREHOLDERS 

1.  Were shares ever issued?          yes       no   
2.  Did the corporation commence business?           yes             no
3.  If shares were issued, have the assets been distributed to the shareholders?  yes      no
4.  Did a majority of the incorporators or initial directors authorize the dissolution? yes      no
5. Any unpaid debts of the corporation?        yes         no         If yes explain:
6.  Total # of votes entitled to be cast:     for:     against:
7.  Total # of undisputed votes cast for dissolution:     
8.  If dissolving by separate voting groups - attach applicable information. 
9.  Explain how property was distributed, if any:
  
10.  The status of pending litigation, if any:

I hereby attest that the number cast was sufficient for approval. 

Printed Name & Title

Signature:_________________________________________________; date:

Postal address:   
 $20.00 fee: A corporation is dissolved upon the effective date of its articles of dissolution. A corporation may revoke its dissolution within 120 days by filing "revocation of dissolution" 11 V.S.A. §14.04 with the Sec. of State. Simply certify within the 120 days that there has been a change of heart. A fee of $20 is due for this reversal.