DISS STK
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Certificate of Dissolution
(California Stock Corporation ONLY)
There is No Fee for filing a Certificate of Dissolution - Stock
Certification Fee (Optional) - $5.00
1. Corporate Name (Enter the exact name of the Corporation as it is recorded
with the California Secretary of State.)
2. Secretary of State Entity Number
3. Election
The dissolution was made by a vote of ALL of the shareholders of the California corporation.
Note: If the above box is not checked, a Certificate of Election to Wind Up and Dissolve (Form ELEC STK) must be filed prior to
or together with this Certificate of Dissolution. (California Corporations Code section 1901.)
4. Debts and Liabilities
(Check the applicable statement. Only one box may be checked. If second box is checked, must
include the required information in an attachment.)
The known debts and liabilities have been actually paid or paid as far as its assets permitted.
The known debts and liabilities have been adequately provided for in full or as far as its assets permitted by their
assumption. Included in the attachment to this certificate, incorporated herein by this reference, is a description
of the provisions made and the name and address of the person, corporation or government agency that has
assumed or guaranteed the payment, or the depository institution with which deposit has been made.
The corporation never incurred any known debts or liabilities.
5. Required Statements (Do not alter the Required Statements – ALL must be true to file Form DISS STK.)
a. The Corporation has been completely wound up and is dissolved.
b. All final returns required under the California Revenue and Taxation Code have been or will be filed with the
California Franchise Tax Board.
c. The known assets have been distributed to the persons entitled thereto or the corporation acquired no known
assets.
6. Read, Verify, Date and Sign Below
The undersigned is the sole director or a majority of the directors now in office. 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 Type or Print Name
_______________ __________________________________________ ________________________________________________
Date Signature Type or Print Name
_______________ __________________________________________ ________________________________________________
Date Signature Type or Print Name
DISS STK (REV 03/2022)
2022 California Secretary of State
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