Form Dc-9 - Articles Of Merger (Subsidiary Into Parent) Page 2
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FORM DC-9
WWW.
USINESS
7/2008
8. 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 days
after the filing, if so stated. Check one of the following statements:
Merger is effective on the date and time of filing the Articles 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.
The undersigned certifies under the penalties of Section 414-20, Hawaii Revised Statutes, that the undersigned has read the
above statements, I/we are authorized to make this change, and that the statements are true and correct.
Signed this ____________day of ___________________________________, __________
Parent or Surviving corporation:
_____________________________________________________________________________________
(Type/Print Corporate Name)
_______________________________________________________
________________________________________________________
(Type/Print Name & Title)
(Type/Print Name & Title)
_______________________________________________________
_________________________________________________________
(Signature of Officer)
(Signature of Officer)
Instructions: Articles of Merger must be typewritten or printed in black ink, and must be legible. The articles must be signed
by at lease one officer of the parent or surviving corporation. All signatures must be in black ink. Submit original articles
together with the appropriate fee.
Line 1. State the full name of the parent or surviving corporation and its state of incorporation.
Line 2. State the full name of the subsidiary or merging corporation and its state of incorporation.
Line 5. Complete the information for the number of outstanding shares of each class of the subsidiary corporation and the
number of shares owned by the surviving corporation.
Line 6. Give the month, day and year that a copy of the Plan of Merger was mailed to the shareholders of the subsidiary
corporation.
Line 7. 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 8. 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: Filing fee ($50.00) is not refundable. Make checks payable to DEPARTMENT OF COMMERCE AND
CONSUMER AFFAIRS. Dishonored Check Fee $25.00.
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).
breg@dcca.hawaii.gov
Fax: (808) 586-2733 Email Address:
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)
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