"Domestic Nonprofit Corporation Statement of Intent to Dissolve" - Alabama

Domestic Nonprofit Corporation Statement of Intent to Dissolve is a legal document that was released by the Alabama Secretary of State - a government authority operating within Alabama.

Form Details:

  • Released on January 1, 2021;
  • The latest edition currently provided by the Alabama Secretary of State;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Alabama Secretary of State.

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STATE OF ALABAMA
DOMESTIC NONPROFIT CORPORATION STATEMENT OF INTENT TO DISSOLVE
PURPOSE: In order to file an Intent to Dissolve for a Nonprofit Corporation under Section 10A-1-9.11 and 10A-3-7.04 of
the Code of Alabama 1975 this Statement of Intent to Dissolve and the appropriate filing fees must be filed with the
Office of the Secretary of State. The information required in this form is required by Title 10A.
INSTRUCTIONS: Mail one (1) signed original and one (1) copy of this completed form along with a self-addressed,
stamped envelope and the appropriate filing fees of $100.00 for standard processing. Office of the Secretary of State,
P.O. Box 5616, Montgomery, AL, 36103-5616. You may pay the Secretary of State fees by check, money order, or
credit card (see attached). Your filing will not be indexed if the credit card does not authorize and will be removed from
the index if the check is dishonored ($30.00 fee).
This form must be typed
1. The name of the corporation as recorded on the Certificate of Formation:
TO OBTAIN ID NUMBER Go to our
2. Alabama Entity ID Number (Format: 000-000):
-
website at
www.sos.alabama.gov
click on Business Services (below picture), click on Business Entity and Name
Search, click on Entity Name, enter the name of the entity in the appropriate box, and enter. Click on the number and
verify that this is the correct entity. This step is strongly recommended.
3. The name and respective addresses of its officers:
The name of the President:
Street Address of President:
The name of the Vice President:
Street Address of Vice President:
The name of the Secretary:
Street Address of Secretary:
The name of the Treasurer:
Street Address of Treasurer:
( For SOS Office Use Only)
This form was prepared by: (type name and full address)
DNP Intent to Dissolve - 01/2021
Page 1 of 2
STATE OF ALABAMA
DOMESTIC NONPROFIT CORPORATION STATEMENT OF INTENT TO DISSOLVE
PURPOSE: In order to file an Intent to Dissolve for a Nonprofit Corporation under Section 10A-1-9.11 and 10A-3-7.04 of
the Code of Alabama 1975 this Statement of Intent to Dissolve and the appropriate filing fees must be filed with the
Office of the Secretary of State. The information required in this form is required by Title 10A.
INSTRUCTIONS: Mail one (1) signed original and one (1) copy of this completed form along with a self-addressed,
stamped envelope and the appropriate filing fees of $100.00 for standard processing. Office of the Secretary of State,
P.O. Box 5616, Montgomery, AL, 36103-5616. You may pay the Secretary of State fees by check, money order, or
credit card (see attached). Your filing will not be indexed if the credit card does not authorize and will be removed from
the index if the check is dishonored ($30.00 fee).
This form must be typed
1. The name of the corporation as recorded on the Certificate of Formation:
TO OBTAIN ID NUMBER Go to our
2. Alabama Entity ID Number (Format: 000-000):
-
website at
www.sos.alabama.gov
click on Business Services (below picture), click on Business Entity and Name
Search, click on Entity Name, enter the name of the entity in the appropriate box, and enter. Click on the number and
verify that this is the correct entity. This step is strongly recommended.
3. The name and respective addresses of its officers:
The name of the President:
Street Address of President:
The name of the Vice President:
Street Address of Vice President:
The name of the Secretary:
Street Address of Secretary:
The name of the Treasurer:
Street Address of Treasurer:
( For SOS Office Use Only)
This form was prepared by: (type name and full address)
DNP Intent to Dissolve - 01/2021
Page 1 of 2
DOMESTIC NONPROFIT CORPORATION INTENT TO DISSOLVE
4. The name and respective addresses of its Directors:
The name of the Director:
Street Address of Director:
The name of the Director:
Street Address of Director:
The name of the Director:
Street Address of Director:
Attach listing if more Directors need to be added
5. If there are members entitled to vote thereon, attach a statement setting forth the date of the meeting of members at
which the resolution to dissolve was adopted, that a quorum was present at the meeting, and that the resolution
received at least two-thirds of the votes entitled to be cast by members present or represented by proxy at the meeting,
or attach a statement that the resolution was adopted by a consent in writing signed by all members entitled to vote
with respect thereto.
6. If there are no members, or no members entitled to vote thereon, attach a statement of fact, the date of the meeting of
the board of directors at which the resolution to dissolve was adopted and a statement of the fact that the resolution
received the vote of a majority of the directors in office.
/
/
Date
(MM/DD/YYYY)
Signature of President or Vice President (10A-3-7.05)
Typed Name and Title of Above Signature
ALL THREE (3) SIGNATURES
ARE REQUIRED UNDER
10A-3-7.04.
Signature of Secretary or Asst. Secretary (10A-3-7.05)
Typed Name and Title of Above Signature
Signature of Officer Verifying – not one of above (10A-3-7.05)
Typed Name and Title of Above Signature
DNP Intent to Dissolve - 01/2021
Page 2 of 2
Secretary of State Credit Card or Prepaid Payment Option/Return/Hold Sheet: : If you do not send
an acknowledgement copy and a pre-addressed postage paid envelope with the filing you will not receive
a receipt from the Secretary of State’s Office. Hold for pickup request will have the receipt attached. The
document of record will be stamped showing the receipt of the filing fee but will not show convenience
fees (generally these fees are between 2% and 5% of the total charge).
Information MUST be typed or filing will be returned without review.
Entity Name:
AL Entity ID #, required for all filings other than formation/registration:
-
(ex: 000-000)
Service Requested:
X
$100.00 Dissolution/Cancellation filing fee
Hold at Front Desk for Pick-up by:
There is no notification service/call for pick-up.
(Service providers who run couriers for pick-up)
Choose one of the following:
Check/money order is attached-Please make one check payable for each filing to the Alabama
Secretary of State. Do not use one check for multiple filings.
Charge fees to prepaid account: Account Number
and Account Name
Typed Name & Signature of Authorized Individual on Account
Credit Card Type:
(Visa, MC, Discover & AmEx)
Card Number:
Expiration Mo/Yr.:
/
(MM/YY)
Card Holder Name:
Complete Billing Address:
Street or PO
City
State
Zip
Signature of Card Holder:
MUST be Signature of Card Holder
Domestic Dissolution/Termination Credit Card/Prepaid Account Payment Slip – 1/2021
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