Form Ss 4246 Tennessee – Fill Out and Use This PDF

Pursuant to the provisions of §48-245-101 of the Tennessee Limited Liability Company Act, or pursuant to the provisions of §48-249-609 of the Tennessee Revised Limited Liability Company Act, the undersigned Limited Liability Company submits the following Notice of Dissolution:

1.The name of the Limited Liability Company is: ________________________________________________

2.If any one of the following statements apply, please mark and complete:

(a)Dissolution was approved by members pursuant to TCA §48-245-202(b) or §48-249-603(b), and [select one]

the resolution was approved at a meeting held on ______________________________

date)[Date not required under TN Revised LLC Act];The requisite vote of the members was received.

(or)

the members validly took action without a meeting.

(b)Dissolution is based upon the expiration of the LLC duration pursuant to TCA §48-245-101(a)(1) or §48-249-601, and the expiration date is _______________________ (date).

(c) Dissolution is based upon termination of a member's interest pursuant to TCA §48-245-101(a)(5), and the continued membership of a member terminated on _____________________

(date).

(d)Dissolution is based upon the occurrence of the following event as specified in the articles or operating agreement pursuant to TCA §48-249-601

____________________________________________________________________________________

____________________________________________________________________________________

and the date of the event is ______________________ (date).

3.If the document is not to be effective upon filing by the Secretary of State, the delayed effective date/ time is: ________________ , ___________ (date), ________________ (time).

(A delayed effective date shall not be later than the 90th day after the date this document is filed by the Secretary of State)

______________________________________	____________________________________________
Signature Date	Name of Limited Liability Company
______________________________________	____________________________________________
Signer’s Capacity	Signature
	____________________________________________
	Name (typed or printed)

SS-4246 (Rev. 01/06)

Filing Fee: $20

RDA 2458