Articles Of Termination Following Administrative Dissolution Or Revocation (For Profit) {SS-4414}

For Office Use Only Corporate Filings 312 Rosa L. Parks Avenue 6th Floor, William R. Snodgrass Tower Nashville, TN 37243 ARTICLES OF TERMINATION FOLLOWING ADMINISTRATIVE DISSOLUTION OR REVOCATION - FOR PROFIT Pursuant to the provisions of Section 48-24-205 of the Tennessee Business Corporation Act, the undersigned corporation submits the following articles of termination following administrative dissolution or revocation: 1. The name of the corporation is 2. The termination was authorized on (must be month, day and year) 3. The resolution authorizing termination was duly adopted by the shareholders. 4. A copy of the resolution or the written consent authorizing the termination is attached. 5. All assets of the corporation have been distributed to its creditors and shareholders. [NOTE: Prior to this document being accepted for filing, the Division of Business Services will request tax clearance verification from the Tennessee Department of revenue that the business has properly filed all reports and paid all required taxes and penalties. If we cannot obtain such tax clearance verification from the Department of Revenue, this document will be rejected and returned to the applicant.] Signature Date Name of Corporation Signer's Capacity Signature Name (typed or printed) SS-4414 (Rev. 4/01) Filing Fee: $100 RDA 1678 American LegalNet, Inc. www.FormsWorkFlow.com