State Of Delaware Certificate Of Merger Of Domestic Corporations Form - 2004 Page 2

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STATE OF DELAWARE
CERTIFICATE OF MERGER OF
DOMESTIC CORPORATIONS
Pursuant to Title 8, Section 251(c) of the Delaware General Corporation Law, the
undersigned corporation executed the following Certificate of Merger:
FIRST: The name of the surviving corporation is _______________________________
_______________________________________,
and the name of the corporation being
merged into this surviving corporation is ______________________________________
_________________________________________________.
SECOND: The Agreement of Merger has been approved, adopted, certified, executed
and acknowledged by each of the constituent corporations.
THIRD: The name of the surviving corporation is ______________________________
___________________________________________________ a Delaware corporation.
FOURTH: The Certificate of Incorporation of the surviving corporation shall be its
Certificate of Incorporation.
FIFTH: The merger is to become effective on _________________________________.
SIXTH: The Agreement of Merger is on file at ________________________________
______________________________________________________,
the place of business
of the surviving corporation.
SEVENTH: A copy of the Agreement of Merger will be furnished by the surviving
corporation on request, without cost, to any stockholder of the constituent corporations.
IN WITNESS WHEREOF, said surviving corporation has caused this certificate to be
signed by an authorized officer, the______________ day of ________________,A.D.,
________.
By:____________________________________
Authorized Officer
Name:____________________________________
Print or Type
Title:____________________________________

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