Fillable Printable Certificate of Dissolution of Corporation

Certificate of Dissolution of Corporation

(Without a Meeting of Shareholders/Member)

(For Use by Domestic Profit and Nonprofit Corporation)

Type all information except signatures.

Mail to: Secretary of State

CN-308

Trenton, NJ 08625

Title 14A:12-3 New Jersey Busine ss Corporation Act (File in Duplicate)

Title 15A:12-3 New Jersey Nonprofit Corporation Act (file in Triplicate)

A CORPORATION MAY BE DISSOLVED BY THE WRITTEN CONSENT OF ALL ITS SHAREHOLDERS/MEMBERS

ENTITLED TO VOTE THEREON. TO EFFECT SUCH DISSOLUTION, ALL SUCH SHAREHOLDERS/MEMBERS MUST

SIGN AND FILE IN THE OFFICE OF THE SECRETARY OF STATE, THE FOLLOWING ARTICLES OF DISSOLUTION.

DOMESTIC PROFIT CORPORATIONS MUST ATTACH A “TAG CLEARANCE CERTIFICATE” FROM THE DIVISION OF

TAXATION, DEPARTMENT OF TREASURY, CN-269, TRENTON, NJ 08625.

1. Name of Corporation:

2. Corporation Number:

3. Registered Agent:

4. Registered Office:

(Street and Postal Designation, if applicable)

5. Name and addresses of the Directors/Trustees and Officers

(Note: Address cannot be that of the Nonprofit Corporation.)

6. The corporation is dissolved.

7. Nonprofit corporation must also include a Plan of Dissolution (15A:12-8), Statement of Treatment of

Liabilities (15A:12-10h) and the date of and vote on the dissolution authorization (15A:12-10j).

THE CERTIFICATE HAS BEEN SIGNED IN PERSON OR BY PROXY BY ALL THE

SHAREHOLDERS/MEMBERS OF THE CORPORATION ENTITLED TO VOTE THEREON.

Signature Date

The purpose of this form is to simplify the filing requirements of the Secretary of State and does not replace the need for competent legal advice.

June 29, 2009

Certificate of

Dissolution

of Corporation

Dated:

Record and Return to:

June 29, 2009

Judicial Title Insurance Agency

550 Mamaroneck Avenue Suite 202

Harrison, New York 10528