1 - Corporate name

I CONFIRM THAT the corporation is not bankrupt or insolvent.

I CONFIRM THAT the corporation is bankrupt or insolvent, but that the trustee/receiver has either been discharged for at least three years or has provided the final report and statement of account to the Superintendent of Bankruptcy at least three years ago.

3 - Status of corporation (choose only one option)

Note: A person who makes, or assists in making, a false or misleading statement is guilty of an offence and liable on summary conviction to a fine of not more than $5,000 or to imprisonment for a term of not more than six months or to both (subsection 262(2) of the NFP Act).

6 - DeclarationI hereby certify that I am a director or an authorized officer of the corporation.

Signature:

Telephone number:Print name:

2 - Corporation number

Canada Not-for-profit Corporations Act (NFP Act) Form 4017

Articles of Dissolution

ISED-ISDE 3598E (2016-11)

4 - Legislative authority to dissolve the corporation (choose only one option)

The corporation has never issued any memberships and all the directors have approved the dissolution (subsection 220(1)).

The corporation has no property or liabilities and the members have approved the dissolution by special resolution (subsection 220(2)).

The corporation has distributed all of its property and discharged all of its liabilities and the members have approved the dissolution by special resolution (subsection 220(3)).

The corporation had previously been issued a Certificate of Intent to Dissolve by Corporations Canada and has since distributed all of its property, provided for the payment or the discharge of all of its liabilities and the members have approved the dissolution by special resolution (section 221).

Organization or firm:

Number and street name:

First name:

5 - Custody of corporate documents and records (identify who will have custody for six years after the dissolution date)

Occupation or title:

Last name:

City: Province or territory: Postal code:

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