Articles of Involuntary Dissolution of a Domestic Business or Non-Profit Corporation (Pennsylvania)
This form is required for an involuntary dissolution of a business or non-profit corporation. The form provided here is simply a sample of what the actual Forms 1989 and 5989 look like.
PENNSYLVANIA DEPARTMENT OF STATE CORPORATION BUREAU
Articles of Involuntary Dissolution-Domestic
(15 Pa.C.S.)
____ Business Corporation (§ 1989)
____ Nonprofit Corporation (§ 5989)
Name _____________________________
Address __________________________
City _______________________________
State ______________________
Zip Code __________________
Document will be returned to the name and address you enter
In compliance with the requirements of the applicable provisions (relating to articles of involuntary dissolution), the undersigned officer of the office of the clerk of the court of common pleas, desiring to evidence the dissolution of a corporation, hereby certifies that:
1. The name of the corporation is: ____________________________
2. The (a) address of this corporation's current registered office in this Commonwealth or (b) name of its commercial registered office provider and the county of venue is (the Department is hereby authorized to correct the following information to conform to the records of the Department):
(a) Number and Street _____________________________
City ______________________________
State _____________________________
Zip ____________________
County _________________
(b) Name of Commercial Registered Office Provider c/o ________________ County ___________
3. The court, term and number or other identification of the proceeding in which a decree dissolving the corporation was entered is: _____________________
4. Check one of the following:
____ The costs and expenses of the foregoing proceeding and the liabilities of the corporation have been discharged and all the remaining assets of the corporation, if any, have been distributed as provided in 15 Pa.C.S. Subch. 19G or 59G (relating to involuntary liquidation and dissolution.
____ The assets of the corporation are not sufficient to discharge such costs, expenses and liabilities, and all the assets of the corporation have been applied, as far as they will go, to the payment of such costs, expenses and liabilities.
5. A certified copy of the decree of dissolution is set forth in full in Exhibit A attached hereto and made a part hereof.
IN TESTIMONY WHEREOF, the undersigned officer of the office of the clerk of the court of common pleas has executed these Involuntary Articles of Dissolution this __________________ day of ________________, _________.
________________________________________________ (Name of Court)
________________________________________________ (Signature)
________________________________________________ (Title)
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INSTRUCTIONS FOR FILLING OUT THIS FORM
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Department of State
Corporation Bureau
P.O. Box 8722
Harrisburg, PA 17105-8722
(717) 787-1057
web site: www.dos.state.pa.us/corps
A. Typewritten is preferred. If not, the form shall be completed in black or blue-black ink in order to permit reproduction. No filing fee is payable to the Department of State with respect to this form.
B. Under 15 Pa.C.S. § 135(c) (relating to addresses) an actual street or rural route box number must be used as an address, and the Department of State is required to refuse to receive or file any document that sets forth only a post office box address.
C. Any governmental approvals shall accompany this form.
D. No tax clearance certificates from the Department of Revenue or from the Bureau of Employment Security of the Department of Labor and Industry evidencing payment of all taxes and charges payable to the Commonwealth are required to be submitted with this form.
E. This form and all accompanying documents shall be mailed to the address stated above.