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CalCourtForms - A C T H MyForms Data PDF Send Print Reset Update Save Status Case Desc Doc1 DSF STK State of California Secretary of State Domestic Stock Corporation Short Form Certificate of Dissolution There is no fee for filing a Short Form Certificate of Dissolution. IMPORTANT Read instructions before completing this form. Corporate Name This Space For Filing Use Only Enter the name of the domestic stock corporation exactly as it is of record with the California Secretary of State. 1. Name of corporation Required Statements 2. a The following statements are required by statute and should not be altered* This Short Form Certificate of Dissolution is being filed within twelve 12 months from the date the Articles of Incorporation were filed with the Secretary of State b The corporation does not have any debts or other liabilities except as provided in Item 2 c c The tax liability of the corporation will be satisfied on a taxes paid basis or a person or corporation or other business entity assumes the tax liability if any of the dissolving corporation and is responsible for additional corporate taxes if any that are assessed and that become due after the date of the assumption of the tax liability. d A final franchise tax return as described by Section 23332 of the Revenue and Taxation Code has been or will be filed with the Franchise Tax Board as required under Part 10. 2 commencing with Section 18401 of Division 2 of the Revenue and Taxation Code. e State. f payments have been returned to those investors. g Assets Check the applicable statement. Note Only one box may be checked* The known assets of the corporation remaining after payment of or adequately providing for the known debts and liabilities have been distributed to the persons entitled thereto. Dissolution The sole director or a majority of the directors now in office has authorized the dissolution and elected to dissolve the corporation* The undersigned constitutes the sole director or a majority of the directors now in office. No directors were named in the original Articles of Incorporation and none have been elected* The sole incorporator or a majority of the incorporators has authorized the dissolution and elected to dissolve the corporation* The undersigned constitutes the sole incorporator or a majority of the incorporators of the corporation* Verification Execution If additional signature space is necessary the dated signature s with verification s may be made on an attachment to this certificate. Any attachments to this certificate are incorporated herein by this reference. 5. I declare under penalty of perjury under the laws of the State of California that the matters set forth in this certificate are true and correct of my own knowledge. Date Signature of Director or Incorporator Type or Print Name of Director or Incorporator DSF STK REV 01/2013 www. 1. Name of corporation Required Statements 2. a The following statements are required by statute and should not be altered* This Short Form Certificate of Dissolution is being filed within twelve 12 months from the date the Articles of Incorporation were filed with the Secretary of State b The corporation does not have any debts or other liabilities except as provided in Item 2 c c The tax liability of the corporation will be satisfied on a taxes paid basis or a person or corporation or other business entity assumes the tax liability if any of the dissolving corporation and is responsible for additional corporate taxes if any that are assessed and that become due after the date of the assumption of the tax liability. d A final franchise tax return as described by Section 23332 of the Revenue and Taxation Code has been or will be filed with the Franchise Tax Board as required under Part 10.