Form X-12 - Articles Of Merger Page 2

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FORM X-12
7/2008
2.
The name, state of formation and address of the surviving entity is:
______________________________________________________________________________
_________________________
(Type/Print Name of Entity)
(State)
__________________________________________________________________________________________________________
(Type/Print Street Address)
3.
The Plan of Merger has been approved in accordance with the applicable laws of each entity that is a party to this merger.
4.
Check one:
a.
Changes to the organizing articles of the surviving entity to be effected by the merger are attached.
b.
The organizing articles of the surviving entity shall not be amended pursuant to this merger.
5.
All entities party to this merger agree:
a.
That the surviving entity may be served with process in this State in any action or proceeding for the enforcement
of any liability or obligation of any entity previously subject to suit in this State which is to merge, and irrevocably
appoints the following as its agent to accept service of process in any such proceeding.
__________________________________________________________________
___________________
(Name of Agent)
(State)
___________________________________________________________________________________________
(Street Address in Hawaii of Agent)
b.
For the enforcement of the right of any dissenting member, shareholder, or partner to receive payment for their
interest against the surviving entity.
The merger is effective on the date and time of filing the Articles of Merger or at a later date and time, no more than 30
6.
days after the filing, if so stated. Check one of the following statements:
Merger is effective on the date and time of filing the Article of Merger.
Merger is effective on ________________________________________________ , at ___________________. m. ,
Hawaiian Standard Time, which date is not later than 30 days after the filing of the Articles of Merger.

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