Dissolution of Public and Association Libraries in New York State

S A M P L E
PETITION FOR DISSOLUTION

NOTE: THIS IS A SAMPLE DOCUMENT ONLY. PLEASE FOLLOW THIS FORMAT AND THE INSTRUCTIONS IN PARENTHESES ( ) WHEN DRAFTING YOUR OWN PETITION. PLEASE BE SURE TO HAVE THE NOTARY PUBLIC INCLUDE A COMPLETE ACKNOWLEDGMENT OF THE SIGNATURES ON THE PETITION, INCLUDING AN ACKNOWLEDGMENT STATEMENT AND HIS/HER STAMP AND SIGNATURE. IF THE SIGNATURES ARE ACKNOWLEDGED SEPARATELY, EACH ACKNOWLEDGMENT MUST INCLUDE THE STATEMENT, STAMP AND SIGNATURE.

This document in MS Word format pdf file [37K]

TO THE REGENTS OF THE UNIVERSITY OF THE STATE OF NEW YORK:

We, the undersigned, being (EITHER the president and secretary [or any two officers], OR three-fourths of the trustees) of _________________ hereby petition the Board of Regents for an order for the voluntary dissolution of the corporation pursuant to the provisions of Education Law §219 and do hereby make, sign and acknowledge the following statements:

  1. The name of the corporation is ____________________________.
  2. (A provisional OR an absolute) charter was granted to this corporation on ____________________, which provisional charter was (list history of charter, amendments, extensions, absolute charter; if none, please indicate).
  3. The purposes of the corporation were: (list the purposes as stated in the charter and any subsequent amendments)
  4. The voluntary dissolution of the corporation is being sought because the corporation is no longer in operation.
  5. Approval of the filing of the library's (successor corporation [provide name of successor corporation] and/or name of the library system) is hereby requested.
  6. The corporation is a non-stock corporation and therefore has no shares of stock to be surrendered for cancellation (OR, The corporation is a stock corporation, and all shares of its stock have been surrendered for cancellation...).
  7. (Choose one) The trustees hereby request Regents approval of the distribution of the corporation's assets to (another charitable corporation with educational purposes) OR The corporation has no assets remaining for distribution.
  8. The names and post office addresses of the entire board of trustees of the corporation are as follows: (give names in full, using given first name and middle initial in all cases, including married women; if necessary, attach a separate sheet)

IN WITNESS WHEREOF we have made, signed and acknowledged this application on the _____ day of ___________ 20 __.

_______________________________
Signature

_______________________________
Typed name/title/address of officer

_______________________________
Signature

_______________________________
Typed name/title/address of officer

OR

Signatures of three-fourths of all the trustees listed above. NOTE: in this case, no secretary’s certificate of the board resolution is necessary.

STATE OF NEW YORK             )

                                    ss:

COUNTY OF             )

On the ________ day of _______________ 20___, before me personally came the ____________ (insert names of officers or trustees who have signed above) trustees listed above, to me known to be the persons described in and who executed the foregoing application, and they severally duly acknowledged to me that they executed the same.

(Typed name, stamp and signature of notary public)

Last Updated: August 31, 2009