Instructions for Form 4019 - Statement of Intent to Dissolve
Form 4019: Statement of Intent to Dissolve (PDF, 617 KB)
- You are providing information required by the NFP Act. Note that both the NFP Act and the Privacy Act allow this information to be disclosed to the public. It will be stored in personal information bank number IC/PPU-049.
- Form 4019 - Statement of Intent to Dissolve cannot be filed at the same time as Form 4017 – Articles of Dissolution.
- There is no filing fee to apply for a Certificate of Intent to Dissolve.
Item 1: Corporate name
Indicate the corporate name. If you want to verify the exact name of the corporation, you can find it using the Corporations Canada online database.
Item 2: Corporation number
Indicate the corporation number. You will find the corporation number on the certificate of incorporation, amalgamation or continuance. You can also find it using the Corporations Canada online database.
Item 3: Status of the corporation
A bankrupt or insolvent corporation can only apply to dissolve three years after the trustee in bankruptcy or receiver has been discharged.
To obtain a Certificate of Intent to Dissolve you must confirm that either:
- the corporation is not bankrupt or insolvent; or
- if the corporation is bankrupt or insolvent, it has been at least three years since the trustee in bankruptcy or the receiver has been discharged.
Item 4: Legislative authority to dissolve the corporation
To proceed with a dissolution using Form 4019: Statement of Intent to Dissolve, confirm that the members have approved the liquidation and dissolution of the corporation by special resolution.
Item 5: Declaration
This form must be signed by either a director or an authorized officer of the corporation. Please print the name and indicate the telephone number of the signatory.
When a Certificate of Intent to Dissolve is issued, the corporation must cease to carry on its activities except to the extent needed for the liquidation. It must also:
- notify creditors of its intent to dissolve
- give notice of the intent to dissolve in each province in Canada where the corporation was carrying on activities at the time it sent the Statement of Intent to Dissolve to Corporations Canada
- do all the acts required for the liquidation of property in accordance with the NFP Act and to discharge all the corporation's liabilities
- distribute the corporation's remaining property among the members according to the articles or the provisions of the NFP Act.
For more information, consult: Dissolving a Not-for-profit Corporation or call toll-free (within Canada) 1-866-333-5556 or (from outside Canada) 613-941-9042.
235 Queen Street
Ottawa, Ontario K1A 0H5
By e-mail: firstname.lastname@example.org
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