STATE OF
DELAWARE
CERTIFICATE OF
DISSOLUTION
________________________________, a corporation organized
and existing under the General Corporation Law of the State of Delaware
DOES HEREBY CERTIFY AS
FOLLOWS:
The
dissolution of said _______________________ has been duly authorized by the
Board of Directors and Stockholders in accordance with subsections (a) and (b)
of Section 275 of the General Corporation Law of the State of Delaware.
The
date the dissolution was authorized is _____________.
The
following is a list of the names and addresses of the directors of the said
corporation:
The
following is a list of the names and addresses of the officers of the said
corporation:
SIGNED:
________________________________
NAME:
__________________________________
TITLE:
__________________________________