Articles Of Merger Involving Domestic Entities

D The Commonwealth of Massachusetts William Francis Galvin PC Secretary of the Commonwealth One Ashburton Place, Boston, Massachusetts 02108-1512 FORM MUST BE TYPED Articles of Merger FORM MUST BE TYPED Involving Domestic Entities (General Laws Chapter 156D, Section 11.06; 950 CMR 113.36) (1) Exact name of each domestic corporation or other entity involved in the merger: ________________________________________________________________________________________________ ________________________________________________________________________________________________ (2) Exact name of the surviving entity: _____________________________________________________________________ (3) h e merger shall be e ) ective at the time and on the date approved by the Division, unless a later e ) ective date not more than 90 days from the date and time of ? ling is speci? ________________________________________________________ ed: (check appropriate box) (4) e plan of merger was duly approved by the shareholders, and wher required, by each separate voting group as provided e by G.L. Chapter 156D and the articles of organization. OR e plan of merger did not require the approval of the shareholders. (5) Participation of each other entity was duly authorized by the law under which the other entity is organized or by which it is governed and by its articles of organization or other organizational documents. (6) Attach any amendment to articles of organization of the surviving entity, where the survivor is a domestic business corpora- tion. (7) Attach the articles of organization of the surviving entity where the survivor is a NEW domestic business corporation, includ- ing all the supplemental information required by 950 CMR 113.16. American LegalNet, Inc. www.USCourtForms.com P.C. c156ds110695011336 01/13/05<<<<<<<<<********>>>>>>>>>>>>> 2Signed by: ___________________________________________________________________________________________, (signature of authorized individual) Chairman of the board of directors, President, Other o cer, Court-appointed ? duciary, on this _________________________day ofday ofday of__________________________________________________________________________________, _____________________.Signed by: ___________________________________________________________________________________________, (signature of authorized individual) Chairman of the board of directors, President, Other o cer, Court-appointed ? duciary, on this _________________________day ofday ofday of__________________________________________________________________________________, _____________________. American LegalNet, Inc. www.USCourtForms.com<<<<<<<<<********>>>>>>>>>>>>> 3 COMMONWEALTH OF MASSACHUSETTS William Francis Galvin Secretary of the Commonwealth One Ashburton Place, Boston, Massachusetts 02108-1512 Articles of Merger Involving Domestic Entities (General Laws Chapter 156D, Section 11.06; 950 CMR 113.36) I hereby certify that upon examination of these articles of merger, duly submitted to me, it appears that the provisions of the General Laws relative thereto have been complied with, and I hereby approve said articles; and the ? ling fee in the amount of $______ having been paid, said articles are deemed to have been ? led with me this _____________day ofday ofday of ____________________________20_______ at _______a.m./p.m. time E ) ective date: _________________________________________________ (must be within 90 days of date submitted) WILLIAM FRANCIS GALVIN Secretary of the Commonwealth Examiner Filing fee: Minimum $250 Name approval TO BE FILLED IN BY CORPORATION C Contact Information: ___________________________________________________________ #A.R. ___________________________________________________________ ___________________________________________________________ Telephone: ___________________________________________________ Email: ______________________________________________________ Upon ? ling, a copy of this ? ling will be available at www.sec.state.ma.us/cor. If the document is rejected, a copy of the rejection sheet and rejected document will be available in the rejected queue. American LegalNet, Inc. www.USCourtForms.com