Statement Of Merger

Arizona Department of State Office of the Secretary of State , Secretary of State State of Arizona Office of the Secretary of State Statement of Merger , A.R.S. 247 29 - 2205 SEND BY MAIL TO: Secretary of State , Atten: Limited Partnerships1700 W. Washington Street, FL. 7, Phoenix, AZ 85007-2808 O R return this application in person: PHOENIX - State Capitol Executive Tower, 1700 W. Washington Street, Fl., TUCSON - Arizona State Complex , 400 W. Congress , 1st Fl., Suite 14 1 Office Hours: Monday through Friday, 8 a.m. to 5 p.m., except state holidays. D O N OT W RITE IN T HIS S PACE FOR OFFICE USE ONLY SOSBS ARS292205 REV. //20 PLEASE NOTE: All correspondence regarding this filing will be sent to the principal office identified on this certificate. This application must be submitted with a self - addressed, stamped envelope with applicable filing fees. 1. All merging entities that are not the surviving entity attach additional sheets should more merging entities be needed Merged Entity Name Jurisdiction of Organization Secretary of State file number, if any Entity Type (select one): Corporation Limited Liability Company Partnership Other: Merged Entity Name Jurisdiction of Organization Secretary of State file number, if any Entity Type (select one): Corporation Limited Liability Company Partnership Other: Merged Entity Name Jurisdiction of Organization Secretary of State file number, if any Entity Type (select one) Corporation Limited Liability Company Partnership Other: 2.Surviving Entity Information if a merging enti ty survives the merge, repeat that s information here Surviving Entity Name Jurisdiction of Organization Secretary of State file number, if any best known place of business in this state or street address in this state City State Zip Surviv i ng Entity Type (select one) Corporation Limited Liability Company Partnership Other: Delayed effective date and time, if any , but not more than 90 days from date of receipt. See the instructions for further detail. Is a new statuatory agent being appointed? No Yes If yes, a signed statement of the statuatory agent accepting the appointment must be attached to the statement of merger, A.R.S. 247 29 - 2205 ( B )( 3)(b ) Arizona address of agent for service of process (P.O. Box or C/O are unacceptable) City State AZ Zip 4 . Approved signature of each merging entity Name of Signer on behalf of merging entity Statement of Merger Approval This merger was approved by this domestic or foreign merging entity. [A.R.S. 247 29 - 2205(B)(5)] Signature Month Day Year Name of Signer on behalf of merging entity Statement of Merger Approval This merger was approved by this domestic or foreign merging entity. [A.R.S. 247 29 - 2205(B)(5)] Signature Month Day Year Name of Signer on behalf of merging entity Statement of Merger Approval This merger was approved by this domestic or foreign merging entity. [A.R.S. 247 29 - 2205(B)(5)] Signature Month Day Year Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Arizona Department of State Office of the Secretary of State , Secretary of State State of Arizona Office of the Secretary of State Stateme nt of Merger Instructions , A.R.S. 247 29 - 2205 SEND BY MAIL TO: Secretary of State , Atten: Limited Partnerships1700 W. Washington Street, FL. 7, Phoenix, AZ 85007-2808 O R return this application in person: PHOENIX - State Capitol Executive Tower, 1700 W. Washington Street, Fl., TUCSON - Arizona State Complex , 400 W. Congress , 1st Fl., Suite 141 Office Hours: Monday through Friday, 8 a.m. to 5 p.m., except state holidays. DO NOT WRITE IN THIS SPACE FOR OFFICE USE ONLY SOSBS ARS292605 REV. Instruction Be Accurate: Complete all applicable fields on this form. Write legibly; or fill out this application online at www.azsos.gov and print it. Processing: 2-3 weeks; expedited service ()available for an additional $25. Submission: Submit this certificate in duplicate (one original, one copy) with a self-addressed, stamped envelope with payment. Any other matters, please attach additional sheets with filing. Questions? Call (602) 542-6187; in-state/toll-free (800) 458-5842. Filing fee and Payment : $10 + $3 plus $3 per additional page. Checks or money orders shall be made payable to the Secretary of State. This fee is considered per entity name lis ted on the Statement of Merger affect ing an y entity (ies) recorded by our office , and not for filing the Statement of Merger itself. For example, i f the merger indicates two entities recorded with our office, the filing fee wil l be, excluding additional pages, $26 (2 entities at $13 each) . Statuatory Obligation Arizona Revised St atutes (A.R.S.) 247247 29 - 2201 2207 provide reference for creation of and recording of mergers . The requirements for this Statement of Merger are set forth in A.R.S. 247 29 - 2205. The filing of thi file with our office. Statement of Merger Effective Date If no effective date is specified and the filing meets all statutory requirements, the Secretary of State will deem the State ment to be effective on the date of delivery. Should a Statement have an effective date, it must be delivered to our office no more than 90 days will return the form and detail when the form should be resubmitted. Additional Steps/Requirements Determine if any additional steps must take place. Our office will require additional paperwork , and subsequent fees , if the surviving entity will become a partnership r ecorded by our office . If additional paperwork and fees are not received, the entire request will be returned for resubmission. If the surviving entity is not on file, and will be a partnership, this document must be submitted along with a new Certifica te filing. This Statement of Merger will be processed as an amendment if the surviving partnership is on file. T his Statement of Merger will be processed as a cancellation if the partnership on file does not survive. Option 1 : Statement of Merger indicates survivi ng entity is a partnership that is not on file with our office. The Statement of Merger must be submitted with the appropriate registration form below, along with its filing fees. Option 2 : Statemen t of Merger references existing partnership that will survive the merge. Our office will process the Statement of Merger as an amendment to the existing partnership on file. Option 3 : Statement of Merger references partnership(s) that is ( are) merging into a surviving entity that is not recorded with our office. Our office will process the Statement of Merger as a cancellation to the existing partnership on file. LP Domestic Certificate of Limited Partnership No additional paperwork or fees required Foreign Foreign Limited Partnership Registration LLP Domestic Combined Certificate of Limited Partnership & Statement of Qualification to be a Limited Liability Partnership Foreign Statement of Qualification to be a Foreign Limited Liability Partnership LLLP Domestic Combined Certificate of Limited Partnership & Statement of Qualification to be a Limited Liability Partnership Foreign Statement of Qualification to be a Foreign Limited Liability Partnership Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com