Use these instructions when
completing a Statement of Dissolution of Delinquent Entity pursuant to §7‑90‑908 of the Colorado Revised Statutes
(C.R.S.). The required form/cover sheet must be used when submitting the
document for filing. Information included in the document must be in English. Mistakes
may have legal consequences: review the information provided carefully. The
Colorado Secretary of State’s Office cannot provide legal advice. Questions
should be addressed to your legal, business or tax advisor(s). Only provide
information that is required or permitted to be included in the document. Do
not include personal identifying information, such as a social security
number. All information entered in the
form/cover sheet or included in an attachment will be made a matter of public
record and immediately accessible on the Secretary of State’s website. In order to obtain a copy of the filed
document or access additional information, including Frequently Asked Questions
(FAQs), visit our website, www.sos.state.co.us.
Instructions
ID Number:
The ID Number field will be pre-filled with the 11 digit number assigned to the
record by the Business Division of the Colorado Secretary of State’s Office.
This information cannot be changed.
Entity Name:
The Entity Name field will be pre-filled with the entity name exactly as such
name is on record in the Business Division of the Colorado Secretary of State’s
Office. This information cannot be changed using this form/cover sheet.
Jurisdiction of Entity: The Jurisdiction field will be pre-filled with the
entity’s jurisdiction of formation exactly as such jurisdiction is on record in
the Business Division of the Colorado Secretary of State’s Office. This information
cannot be changed using this form/cover sheet.
Principal Office Address: The principal office address may have been
pre-filled. You may edit this information.
Principal Office Street Address: A street address is required. Provide the street name
and number, including the suite, unit or apartment number, if applicable. The
city, state, and ZIP/postal code must also be provided. Any address outside of
the United States
must include the country and, if applicable, the province.
Example:
123 N. Main Street,
Apt 101
Denver, Colorado 80202
Principal Office Mailing Address: A mailing address is optional. If the mailing address
is different than the street address, or mail cannot be delivered to the street
address, provide the mailing address, including the city, state and ZIP/postal
code where mail is to be delivered. Any address outside of the United States
must include the country and, if applicable, the province.
Example:
P.O. Box 854
Lakewood, Colorado 80228
Mailing
Address same as Street Address: If
the mailing address is the same as the street address, or the mailing address
is no longer valid, click the “Yes” button.
Duration of Delinquency and Delivery of Notice: Mark the
boxes to affirm the statements. If the boxes are not marked, the document will
not be accepted. Both statements are required by § 7-90-908, C.R.S.
Additional Information: Click the “Yes” button if
additional information as permitted or required by law is included in the
document as an attachment. After clicking
on “Submit” at the bottom of the online form/cover sheet, the Manage
Attachments page will appear. This will allow additional information to be
attached as a plain text (.txt) or PDF (.pdf) document. Information about attachments.
Delayed Effective Date (optional):
Leave this field
blank if you want the document to take effect immediately. The effective date of this document
may be delayed up to 90 days after filing with the Business Division of the
Colorado Secretary of State’s Office. If you do not want the document to become
effective immediately, enter the date and, if appropriate, time that you want
the document to become effective. If only a date is entered into the box, then
the document will become effective at 11:59 p.m. on that date. Mountain
Time controls the filing date and time. For legal authority, refer to § 2-4-109 and § 7-90-304,
C.R.S.
Notice: This section describes the legal authority for filing
this document. Refer to § 7-90-301.5,
C.R.S. for more information.
Individual Causing
Delivery: Pursuant to § 7-90-301.5, C.R.S., each individual causing the
document to be filed is responsible for complying with the applicable statutes.
Provide the last name, first name and address of at least one individual
causing the document to be delivered for filing. A middle name or initial and a
suffix are optional. The mailing address, including the city, state and
ZIP/postal code, must be provided. Any address outside of the United States must include the
country and, if applicable, the province.
Example: Smith, John
123 N. Main St., Apt 101
Denver, Colorado 80122
Additional Individuals
Causing Delivery: If only one individual is causing this document to be filed, “No” is the correct
option. Click the “Yes” button to include
an attachment with the names and addresses of additional individuals causing
the document to be filed. The attachment must provide the name of each
additional individual, including their last name and first name. A middle name
or initial and a suffix are optional. Also provide the mailing address,
including the city, state and ZIP/postal code. Any address outside of the
United States must include the country and, if applicable, the province.
Disclaimer: These instructions, and the related form/cover sheet,
are not intended to provide legal, business or tax advice, and are offered as a
public service without representation or warranty. While the related form/cover
sheet is believed to satisfy minimum legal requirements as of its revision
date, compliance with applicable law, as the same may be amended from time to
time, remains the responsibility of the user of this form/cover sheet.
Questions should be addressed to the user’s attorney.
