ARTICLE IV - Manner of Adoption & Vote of Surviving Corporation (must complete Section 1 or 2)
Clear Page 2
Section 1
[ ] Shareholder vote not required. The merger/ share exchange was adopted by the incorporators or board of
directors without shareholder action and shareholder action was not required.
Section 2
[ ] Vote of shareholders (complete either A or B) The designation (i.e., common, preferred or any classification
where different classes of stock exist), number of outstanding shares, number of votes entitled to be cast by each
voting group entitled to vote separately on the merger / share exchange and the number of votes of each voting group
represented at the meeting is set forth below:
A. Unanimous written consent executed on _______________, 20___ and signed by all shareholders entitled to vote.
B. Vote of shareholders during a meeting called by the Board of Directors.
TOTAL
A
B
C
Designation of each voting group (i.e. preferred and common)
Number of outstanding shares
Number of votes entitled to be cast
Number of votes represented at meeting
Shares voted in favor
Shares voted against
ARTICLE V - Manner of Adoption & Vote of Non-surviving Corporation (must complete Section 1 or 2)
Section 1
[ ] Shareholder vote not required. The merger/ share exchange was adopted by the incorporators or board of
directors without shareholder action and shareholder action was not required.
Section 2
[ ] Vote of shareholders (complete either A or B) The designation (i.e., common, preferred or any classification
where different classes of stock exist), number of outstanding shares, number of votes entitled to be cast by each
voting group entitled to vote separately on the merger / share exchange and the number of votes of each voting group
represented at the meeting is set forth below:
A. Unanimous written consent executed on _______________, 20___ and signed by all shareholders entitled to vote.
B. Vote of shareholders during a meeting called by the Board of Directors.
TOTAL
A
B
C
Designation of each voting group (i.e. preferred and common)
Number of outstanding shares
Number of votes entitled to be cast
Number of votes represented at meeting
Shares voted in favor
Shares voted against
In Witness Whereof, the undersigned being the ______________________________________________________________
of the surviving corporation executes these Articles of Merger / Share Exchange and verifies, subject to penalties of perjury
that the statements contained herein are true, this ____ day of ______________________, 20____.
Sign here after printing the form
___________________________________
_____________________________________
Signature
Printed Name
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Mailing/Faxing Information:
01/14