Form BUS-019 "Certificate of Dissolution - Stock/Business Corporation" - Connecticut

What Is Form BUS-019?

This is a legal form that was released by the Connecticut Secretary of the State - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on November 1, 2020;
  • The latest edition provided by the Connecticut Secretary of the State;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form BUS-019 by clicking the link below or browse more documents and templates provided by the Connecticut Secretary of the State.

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Download Form BUS-019 "Certificate of Dissolution - Stock/Business Corporation" - Connecticut

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Secretary of the
State of Connecticut
OFFICE USE ONLY
860-509-6003
crd@ct.gov
www.concord-sots.ct.gov
PHONE:
EMAIL:
WEB
:
CERTIFICATE OF DISSOLUTION
• Use ink.
• Print or type.
• Attach additional 8 1/2 x 11 sheets if necessary
STOCK / BUSINESS CORPORATION
FILING PARTY
(confirmation will be sent to this address):
NAME:
ADDRESS:
NO FILING FEE
REQUIRED
CITY:
STATE:
ZIP:
1. NAME OF CORPORATION
(required) (name must exactly match the name on record with the Secretary of the State,
including the business designation (e.g., Inc., Corp., Corporation, etc.)):
2. DATE ON WHICH DISSOLUTION WAS AUTHORIZED
(required):
/
/
(mm/dd/yyyy) _________
__________
_______________
3. STATEMENT OF DISSOLUTION
(required)
Place a check mark next to box 3A (including 3A-1 or 3A-2) OR box 3B below, whichever is applicable.
The dissolution was authorized by a majority of the incorporators or by a majority of the
3A
initial directors. No debt of the corporation remains unpaid.
NOTE:
In addition to box 3A, check box 3A-1 or 3A-2, whichever is applicable
(required if box 3A is checked).
3A-1
NONE OF THE CORPORATION'S SHARES HAVE BEEN ISSUED.
3A-2
THE CORPORATION HAS NOT COMMENCED BUSINESS.
The proposal to dissolve was duly approved by the shareholders in the manner required by
3B
sections 33-600 to 33-998 (inclusive) of the Connecticut General Statutes and by the
certificate of incorporation. The net assets of the corporation remaining after winding up
have been distributed to the shareholders. No debt of the corporation remains unpaid.
4. EXECUTION/SIGNATURE
(required)
(subject to penalty of false statement) (complete items 4A through 4D below):
4A
NAME OF SIGNATORY
:
(hand print or type)
________________________________________________________________
4B
CAPACITY/TITLE
(if signing on behalf of an entity): ____________________________________________________________
4C
SIGNATURE:
_________________________________________________________
4D
DATE SIGNED
/
/
(mm/dd/yyyy): _______
_______
_____________
5. NOTE REGARDING REVOCATION OF DISSOLUTION: A CORPORATION MAY ONLY REVOKE ITS
DISSOLUTION WITHIN 120 DAYS FOLLOWING THE EFFECTIVE DATE OF SUCH DISSOLUTION.
PAGE 1 OF 1
BUS-019 (CERTIFICATE OF DISSOLUTION, STOCK/BUSINESS CORPORATION)
REV. 11/2020
Secretary of the
State of Connecticut
OFFICE USE ONLY
860-509-6003
crd@ct.gov
www.concord-sots.ct.gov
PHONE:
EMAIL:
WEB
:
CERTIFICATE OF DISSOLUTION
• Use ink.
• Print or type.
• Attach additional 8 1/2 x 11 sheets if necessary
STOCK / BUSINESS CORPORATION
FILING PARTY
(confirmation will be sent to this address):
NAME:
ADDRESS:
NO FILING FEE
REQUIRED
CITY:
STATE:
ZIP:
1. NAME OF CORPORATION
(required) (name must exactly match the name on record with the Secretary of the State,
including the business designation (e.g., Inc., Corp., Corporation, etc.)):
2. DATE ON WHICH DISSOLUTION WAS AUTHORIZED
(required):
/
/
(mm/dd/yyyy) _________
__________
_______________
3. STATEMENT OF DISSOLUTION
(required)
Place a check mark next to box 3A (including 3A-1 or 3A-2) OR box 3B below, whichever is applicable.
The dissolution was authorized by a majority of the incorporators or by a majority of the
3A
initial directors. No debt of the corporation remains unpaid.
NOTE:
In addition to box 3A, check box 3A-1 or 3A-2, whichever is applicable
(required if box 3A is checked).
3A-1
NONE OF THE CORPORATION'S SHARES HAVE BEEN ISSUED.
3A-2
THE CORPORATION HAS NOT COMMENCED BUSINESS.
The proposal to dissolve was duly approved by the shareholders in the manner required by
3B
sections 33-600 to 33-998 (inclusive) of the Connecticut General Statutes and by the
certificate of incorporation. The net assets of the corporation remaining after winding up
have been distributed to the shareholders. No debt of the corporation remains unpaid.
4. EXECUTION/SIGNATURE
(required)
(subject to penalty of false statement) (complete items 4A through 4D below):
4A
NAME OF SIGNATORY
:
(hand print or type)
________________________________________________________________
4B
CAPACITY/TITLE
(if signing on behalf of an entity): ____________________________________________________________
4C
SIGNATURE:
_________________________________________________________
4D
DATE SIGNED
/
/
(mm/dd/yyyy): _______
_______
_____________
5. NOTE REGARDING REVOCATION OF DISSOLUTION: A CORPORATION MAY ONLY REVOKE ITS
DISSOLUTION WITHIN 120 DAYS FOLLOWING THE EFFECTIVE DATE OF SUCH DISSOLUTION.
PAGE 1 OF 1
BUS-019 (CERTIFICATE OF DISSOLUTION, STOCK/BUSINESS CORPORATION)
REV. 11/2020
CERTIFICATE OF DISSOLUTION
DOMESTIC STOCK/BUSINESS CORPORATION
A Connecticut stock/business corporation may be dissolved by its incorporators, its initial directors, or its
shareholders. Please consult the Connecticut Business Corporation Act to determine which of these methods is
appropriate.
NOTE: Following dissolution, the affairs of the corporation must be wound up in the manner provided in the
Connecticut Business Corporation Act.
Any questions concerning completion of this form or the dissolution process should be directed to the Corporation's
own legal counsel.
INSTRUCTIONS
NUMBERS CORRESPOND TO SECTION NUMBERS ON THE FORM
1. NAME OF CORPORATION: Please provide the complete name of the corporation as it currently appears on the
records of the Secretary of the State, including the business designation, (e.g., Corp, Inc., Corporation, etc.).
2. DATE DISSOLUTION WAS AUTHORIZED: Please provide the month, day and year on which the incorporators,
initial directors, or shareholders authorized the dissolution of the corporation.
3. STATEMENT OF DISSOLUTION. Check the box for statement A or statement B, whichever is applicable.
3A Check box 3A if the dissolution was authorized by a majority of the corporation’s initial directors or its
incorporators. Then check box 3A-1 or 3A-2, whichever is applicable.
3B Check box 3B if the dissolution was approved by the shareholders in the manner required by sections
33-600 to 33-998 (inclusive) of the Connecticut General Statutes.
4. EXECUTION/SIGNATURE. The document must be executed/signed by an authorized official of the corporation.
That person must print or type their name, state the capacity/title under which they execute/sign, sign the
document and indicate the date signed. The execution/signature constitutes a legal statement under the penalties
of false statement that the information provided in the document is true.
5. NOTE REGARDING REVOCATION OF DISSOLUTION. A corporation may only revoke its dissolution within 120
days following the effective date of such dissolution.
OFFICE OF THE SECRETARY OF THE STATE
MAILING ADDRESS:
BUSINESS SERVICES DIVISION
CONNECTICUT SECRETARY OF THE STATE
P.O. BOX 150470
HARTFORD, CT 06115-0470
DELIVERY ADDRESS:
BUSINESS SERVICES DIVISION
CONNECTICUT SECRETARY OF THE STATE
165 CAPITOL AVE SUITE 1000
HARTFORD, CT 06106
PHONE: 860-509-6003
WEBSITE:
www.concord-sots.ct.gov
INSTRUCTIONS
BUS-019 (CERTIFICATE OF DISSOLUTION, STOCK/BUSINESS CORPORATION)
REV. 11/2020
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