Certificate Of Election To Dissolve Domestic Professional Corporation {08-430}

08-430 (Rev. 02/01/2012) Certificate of Election to Dissolve Instructions CERTIFICATE OF ELECTION TO DISSOLVE Domestic Professional Corporation AS 10.06.608 Filing Fee: $10.00 (non-refundable) INSTRUCTIONS (Please retain for your records): NOTICE: The Certificate of Election to Dissolve will not be filed if a biennial report is due or the signatures do not match what the Corporations Section has on record. Verify the following before completing the application. o Have all current biennial reports be filed? o Are the officers/directors/shareholders up to date on our records? To verify this information please search for the entity by going to Search Corporations Database in the Corporations Section of our website at www.commerce.alaska.gov/occ . If there is a biennial report due, the report may be filed online by selecting Biennial Reports on the Corporations Section page. If the officers/directors/shareholders have changed, but no biennial report is due, please submit a Notice of Change located in the Forms and Fees section. Refer to Alaska Statutes 10.06.608. A business may elect to dissolve itself by filing a Certificate of Election to Dissolve in conjunction with the filing of Articles of Dissolution (form 08-431). Both forms are required to complete the dissolution. ARTICLE 1: Provide the name of the entity currently on record and the Alaska Entity Number. ARTICLE 2: Provide the names, addresses, and titles of the officers and directors. ARTICLE 3: This statement is required by statute. ARTICLE 4 - 7: Please choose one box from either Item 4 or Item 5. ARTICLE 8: The Certificate of Election to Dissolve must be signed by one of the following groupings: o President or vice president, and secretary or assistant secretary, or treasurer. o The majority of directors in office. o The officer or shareholder designated in the written consent listed in Item 4. Mail the Certificate of Election to Dissolve and the non-refundable $10.00 filing fee in U.S. dollars to: State of Alaska, Corporations Section, PO Box 110806, Juneau, AK 99811-0806 STANDARD PROCESSING TIME for complete and correct applications submitted to this office is approximately 10-15 business days. All applications are reviewed in the date order they are received. State of Alaska Division of Corporations, Business and Professional Licensing CORPORATIONS SECTION PO Box 110806 Juneau, AK 99811-0806 Phone: (907) 465-2550 Fax: (907) 465-2974 Website: www.commerce.alaska.gov/occ American LegalNet, Inc. www.FormsWorkFlow.com 08-430 (Rev.02/01/2012) Page 1 of 2 State of Alaska Division of Corporations, Business and Professional Licensing CORPORATIONS SECTION PO Box 110806 Juneau, AK 99811-0806 Phone: (907) 465-2550 Fax: (907) 465-2974 Website: www.commerce.alaska.gov/occ DO NOT STAMP ABOVE THIS BOX Office Use Only CORP CERTIFICATE OF ELECTION TO DISSOLVE Domestic Professional Corporation AS 10.06.608 $10.00 Filing Fee (non-refundable) NOTICE: A Certificate of Election to Dissolve must be filed prior to, or in conjunction with the filing of Articles of Dissolution 226 see form 08-431. Both forms are required to complete the dissolution. Pursuant to Alaska Statutes 10.06.608, a business may elect to dissolve itself. ITEM 1: Name of the Entity: Alaska Entity #: ITEM 2: The names, addresses, and titles of the officers/directors/shareholders: Title Name Mailing address Director X Shareholder X President Vice President Secretary Treasurer Attach a separate sheet if needed. American LegalNet, Inc. www.FormsWorkFlow.com 08-430 (Rev.02/01/2012) Page 2 of 2 ITEM 3: Corporation has elected to wind up and dissolve. Complete either Item 4 or Item 5: ITEM 4: If the election to dissolve was approved by the shareholders by: (Check only one box in Item 4.) Election. The number of shares voting for the election was , which represents at least 2/3 of the shareholders entitled to vote. The corporation222s shareholders by written consent. NOTE: A copy of the consent signed by all of the shareholders of the corporation must be attached. --- OR --- ITEM 5: The election was approved by the board of directors with one of the following statements: (Check only one box in Item 5.) A statement that there are no shares issued, or A statement that the corporation was disposed of all of its assets and has not conducted any business for the past five years, or A statement that the corporation has been adjudicated bankrupt. ITEM 6: The Certificate of Election to Dissolve must be an officers222 certificate, or shall be signed by at least a majority of the directors in office at time of election to dissolve, or by the officer or shareholder designated to do so in written consent by the shareholders holding shares representing 50 percent or more of the voting power. Signature Printed name Title Date Attach a separate sheet if needed. NOTE: Persons who sign documents filed with the commissioner that are known to the person to be false in material respects are guilty of a class A misdemeanor. NOTICE: A Certificate of Election to Dissolve must be filed prior to, or in conjunction with the filing of Articles of Dissolution 226 see form 08-431. Mail the Certificate of Election to Dissolve and the non-refundable $10.00 filing fee in U.S. dollars to: State of Alaska, Corporations Section, PO Box 110806, Juneau, AK 99811-0806 STANDARD PROCESSING TIME for complete and correct applications submitted to this office is approximately 10-15 business days. All applications are reviewed in the date order they are received. American LegalNet, Inc. www.FormsWorkFlow.com 08-561 (Rev. 02/01/2012) Page 1 of 1 State of Alaska Division of Corporations, Business and Professional Licensing CORPORATIONS SECTION PO Box 110806 Juneau, AK 99811-0806 Phone: (907) 465-2550 Fax: (907) 465-2974 Website: www.commerce.alaska.gov/occ DO NOT STAMP ABOVE THIS BOX Office Use Only CORP CONTACT INFORMATION SHEET Please return this document with your filing. This information will only be used to resolve questions with the filings attached. NOTE: this form will not be filed for record or appear online. Name of entity as it appears on filing: To resolve questions with this filing, contact: Name: Email: Phone: Mailing address: Return documents to: Name: Company: Mailing address: Attach this form to your filings. Send all documents to: State of Alaska, Corporations Section, PO Box 110806, Juneau, AK 99811-0806 STANDARD PROCESSING TIME for complete and correct applications submitted to this office is approximately 10-15 business days. All applications are reviewed in the date order they are received. American LegalNet, Inc. www.FormsWorkFlow.com All major credit cards are accepted. For security purposes, do not email credit card information. Include this credit card payment form with your application. Name of Applicant or Licensee: Program Type: License Number (if applicable): I wish to make payment by credit card for the following (check all that apply): AMOUNT Application Fee: License or Renewal Fee: Other (name change, wall certificate, fine, duplicate license, exam, etc.): 1. 2. TOTAL: Name (as shown on credit card): Mailing Address: Phone Number: Email (optional): Signature of Credit Card Holder: 08-4438 Rev 12/26/18 Credit Card Payment Form (all major cards accepted) State of Alaska Department of Commerce, Community, and Economic Development Division of Corporations, Business and Professional Licensing PO Box 110806, Juneau, AK 99811 Phone: (907) 465-2550 Credit Card Payment Form CREDIT CARD INFO: Your payment cannot be processed unless all fields are completed! All four fields MUST be completed! This section will be destroyed after the payment is processed. 1. Account Number : 2. Expiration Date: 3. Billing ZIP Code: 4 . Security Code : FOR DIVISION USE ONLY T HE S TATE ALASKA of Department of Commerce, Community , and Economic Development Division of Corporations, Business and Professional Licensing American LegalNet, Inc. www.FormsWorkFlow.com