Fillable Form X-12 - Articles Of Merger (Page 4 of 4) in pdf

FORM X-12

7/2008

Instructions: Articles must be typewritten or printed in black ink, and must be legible. All signatures must be in black ink.

Submit articles together with the appropriate fee.

Execution:

For corporations, document must be signed by at least one officer of the corporation.

For general partnerships must be signed by at least one general partner.

For limited partnerships must be signed by at least one general partner.

For LLC, must be signed and certified by at least one manager of a manager-managed company or by at least one member of a

member-managed company.

For LLP, must be signed and certified by at least one partner.

For LLLP, must be signed and certified by at least one general partner.

Line 1. State the name, type of entity and state of formation of the entities proposing to merge, including the surviving entity.

Line 2. State the name, address and state of formation of the surviving entity.

Line 3. The statement that the Plan of Merger was approved by each entity involved in the merger is required.

Line 4. Any changes to the organizing articles of the surviving entity to be effected by the merger must be attached.

Attachment must be typewritten or printed in black ink on 8-1/2 x 11 white, bond paper and printed only on one side.

Line 5. State the name and Hawaii street address of the agent for service of process. The agent must be an individual

resident of Hawaii, a domestic entity, or a foreign entity authorized to transact business in the State of Hawaii. If agent

is an entity, list the state or country of incorporation/formation or organization of the agent.

Line 6. Check whether the merger is effective on the date and time of filing the Articles of Merger with the Department of

Commerce and Consumer Affairs, State of Hawaii, or effective on a future date. If a future date is selected, state the

effective date and time, which cannot be more than 30 days after the filing of the Articles of Merger.

Filing Fees of $100.00 and $50.00* are not refundable

Filing Fees:

. Make checks payable to DEPARTMENT OF

COMMERCE AND CONSUMER AFFAIRS. Dishonored Check Fee ($25).

*The filing fee is $50.00 if the surviving entity is nonprofit.

For any questions call (808) 586-2727. Neighbor islands may call the following numbers followed by 6-2727 and the # sign:

Kauai 274-3141; Maui 984-2400; Hawaii 974-4000, Lanai & Molokai 1-800-468-4644 (toll free).

Fax: (808) 586-2733

Email Address:

breg@dcca.hawaii.gov

NOTICE: THIS MATERIAL CAN BE MADE AVAILABLE FOR INDIVIDUALS WITH SPECIAL NEEDS. PLEASE CALL THE

DIVISION SECRETARY, BUSINESS REGISTRATION DIVISION, DCCA, AT 586-2744, TO SUBMIT YOUR REQUEST.

ALL BUSINESS REGISTRATION FILINGS ARE OPEN TO PUBLIC INSPECTION. (SECTION 92F-11, HRS)

Form X-12 - Articles Of Merger Page 4