Articles Of Dissolution - (Cooperative) {163}

Articles of Dissolution - Cooperative Secretary of State - Corporation Division - 255 Capitol St. NE, Suite 151 - Salem, OR 97310-1327 sos.oregon.gov/business - Phone: (503) 986-2200 REGISTRY NUMBER: In accordance with Oregon Revised Statute 192.410-192.490, the information on this application is public record. We must release this information to all parties upon request and it will be posted on our website. For office use only Please Type or Print Legibly in Black Ink. Attach Additional Sheet if Necessary. 1) NAME OF COOPERATIVE: 2) DATE OF ADOPTION OF AMENDMENT, RESTATED ARTICLES, OR DISSOLUTION: 3) MEMBER VOTE: Number of members voting for: Number of members voting against: 4) SHAREHOLDER VOTE ON RESOLUTION: (If authorized) Total n u m be r o f au t hor i ze d s hareho ld e r vo t e s Nu m be r o f vo t e s requ ir e d f o r adop t ion Nu m be r o f vo t e s c a s t FOR Nu m be r o f vo t e s c a s t A G A I N S T DATE OF THE VOTE: 5) EXECUTION: (Must be signed by at least one officer or director.) I declare as an authorized signer, under penalty of perjury, that this document does not fraudulently conceal, obscure, alter, or otherwise misrepresent the identity of any person including officers, directors, employees, members, managers or agents. This filing has been examined by me and is, to the best of my knowledge and belief, true, correct and complete. Making false statements in this document is against the law and may be penalized by fines, imprisonment, or both. Signature: Printed Name: Title: CONTACT NAME: (To resolve questions with this filing.) FEES Required Processing Fee $100 PHONE NUMBER: (Include area code.) Processing Fees are nonrefundable. Please make check payable to Corporation Division. Free copies are available at sos.oregon.gov/business using the Business Name Search program. 163 - Articles of Dissolution - Cooperative (11/17) American LegalNet, Inc. www.FormsWorkFlow.com