Fill and Sign the Articles of Termination or Certificate of Cancelation Form

Vermont Secretary of State ARTICLES OF TERMINAT ION (DOMESTIC LLC ) OR CERTIFICATE OF CANCE LATION (FOREIGN LLC ) of a Limited Liabi lity Company (LLC, PLC, L3C) PLEASE RETURN ACKNOW LEGDEMENT TO : (REQUIRED - NAME AND ADDRESS) NAME ADDRESS PLEASE REVIEW INSTRU CTIONS ON REVERSE BE FORE BEGINNING. 11 V.S.A. § 4105 , 4119 DIVISION OF CORPORATIONS FORM LLC -6 (REV. 07/01/15) Page 1 of 1 LLC/PLC/L3C ENDING File No.: Business ID : Processed by: FOR OFFICE USE ONLY 1. BUSINESS NAME : REQUIRED . 2. DOMESTIC STATE SPECIFIC PROVISIONS : REQUIRED - SELECT ONE (1) OF THE FOLLOWING BLOCKS AND FILL IN ALL INFORMATION UNDE R SELECTION .  These are the ARTICLES OF TERMINAT ION of the above named Domestic (Vermont) Limited Liability Company (LLC, PLC, or L3C) in accordance with (11 V.S.A. § 4105 ); a. This domestic company is hereby dissolved as of DATE , b. The business of this company has been wound up, and its legal existence has been terminated.  This is the CERTIFICATE OF CANCE LATION of the above named Foreign (non -Vermont) Limited Liability Company (LLC, PLC, or L3C) in accordance with (11 V.S.A. § 4118 ); a. Domestic State: US STATE OR NON -US COUNTRY OF ORGANI ZATION . b. This company’s business in the State of Vermont has been wound up as of DATE . 3. SERVICE OF PROCESS CONTACT FOLLOWING DISSOLUTION OR CANCELATION : REQUIRED – THIS CONTACT SHOULD BE FOR ANY BUSINESS TRANSACTED PRIOR TO THE EXECUTION OF THIS DOCUMENT – THIS ADDRESS NEED NOT BE IN THE STATE OF VERM ONT . a. NAME: b. PHYSICAL STREET ADDRESS : NO PO BOX City/Town: State: ZIP/Postal Code: - c. MAILING ADDRESS : City/Town: State: ZIP/Postal Code: - 4. EFFECTIVE DATE : OPTIONAL THE EFFECTIVE DATE O F THIS DOCUMENT MAY BE POST -DATED UP TO 90 DAYS FOLLOWING DATE OF RECEIPT CERTIFICATION OF DOCUMENT REQUIRED . I hereby certify, under penalty of law ( 11 V.S.A. § 4029 & 13 V.S.A. § 2904 ), as a pri ncipal or registered agent of this company as recorded by the Vermont Secretary of State , that the above information is accurate as of the date of filing, and that this document is provided in duplicate , with a self -addressed stamped envelope and a check or money order pay able to “VT SOS” for $20.00 . Printed/Typed Name of Filer Signature Title Date PLEASE REVIEW INSTRU CTIONS ON REVERSE BEFORE FILING. Vermont Secretary of State ARTICLES OF TERMINAT ION (DOMESTIC LLC ) OR CERTIFICATE OF CANCE LATION (FOREIGN LLC ) of a Limited Liability Company (LLC, PLC, L3C) 11 V.S.A. § 4105 , 4119 DIVISION OF CORPORATIONS FORM LLC -6 (REV. 07/01/15) Instruction Page LLC/PLC/L3C ENDING Submission Instructions a. This form must be filed in duplicate (1 original + 1 copy –or-- 2 originals) with a check or money order for $20.00 , made payable to “VT SOS,” and a self -addressed stamped envelope . b. This form can ONLY be accepted by Mail or In -person at: Vermont Secretary of State Corporations Division 128 State Street Montpelier, VT 05633 -1104 c. Please allow 7 -10 business days, or more, from the day that this form received in our office, for processing and (if approved) for this business to appear on the website at www.vtsosonline.com , and for evidence of filing to be returned. *** THIS FILING IS NOW AVAILABLE ONLINE ***  This form CANNOT be accepted by Phone, Fax, Website, or E -mail ; however, this filing is now available online: - If you wish to submit this filing electronically, DO NOT fill out this form , please file online at https://www.vtsosonline.com/online/Account?referrer=BD  Payment for this form also CANNOT be accepted by credit card or e -check (ACH) ; payment by credit card or e -check (ACH) is available only by filing online: - If you wish to submit payment by credit card or e -check (ACH), DO NOT use this form , please file online at: https://www.vtsosonline.com/online/Account?referrer=BD  Online filing normally takes 1 business day or less. Form Instructions GENERAL: A foreign limited liability company may cancel its authority to transact business in this state by filing a certificate of cancellation with the secretary of state. Cancellation does not terminate the authority of the secretary of state to accept service of process on the company for claims arising out of the transactions of business in this state. ( 11 VSA § 3138 ) PLEASE RETURN ACKNOWLEGDEMENT TO: Required – The address that the Vermont Secretary of State should return evidence of filing to following the processing and filing of this document. Line 1. Required - The name as currently registered with the Vermont Secretary of State. Line 2. Required - Select one (1) of the following blocks and fill in all information under selection : Articles of Termination: a. Dissolution Date is the date that all business was complete (all other filings with the State of Vermont complete , all assets distributed, etc.) – should be prior to the effective date of this docume nt. Certificate of Cancelation: a. State of Domestication: As appears in the records of the Vermont Secretary of State. b. the date that all business was complete (all other filings with the State of Vermont complete , all assets distributed, etc.) – should be prior to the effective date of this document. Line 3. Required - Service of Process Contact: a. Should be a point of contact regarding business conducted prior to the execution of this document. b. These addresses are not required to be in Vermont. Lin e 4. Optional – This document may be post -dated up to 90 days following date of receipt. CERTIFICATION: Must be a member, manager, or designated agent currently on file with the Vermont Secretary of State. For Questions, please see our website at www.sec.state.vt.us or contact us at: corps@sec.state.vt.us or by phone at (802) 828 -2386