FIFTH:
(Check only one box)
The surviving organization is created by this merger. The organizational document that creates this
surviving organization is attached; or
The surviving organization existed before the merger. (Check only one box below)
Amendments provided for in the plan of merger for the organizational document that created the
surviving organization that are in the public record are attached; or
The organizational documents remain unchanged.
The merger was approved as required by each constituent organization’s governing statute.
SIXTH:
(Foreign Surviving Organization Only)
SEVENTH:
The surviving foreign organization is a foreign organization not authorized to transact business in this State, the street
and mailing address of an office that may be used for service of process under §1439.2:
______________________________________________________________________________
______________________________________________________________________________
EIGHTH:
Additional information required by the governing statute of any constituent organization is set forth in the attached
Exhibit_________, and made a part hereof.
Must be completed by the First Constituent Organization to the Merger
_______________________________________________________________________
_____________________________
(Name and form of participating constituent organization)
(Date)
___________________________________________________
___________________________________________
(*Authorized signature)
(Type or print name and capacity)
___________________________________________________
___________________________________________
(*Authorized signature)
(Type or print name and capacity)
Must be completed by the Second Constituent Organization to the Merger
_______________________________________________________________________
_____________________________
(Name and form of participating constituent organization)
(Date)
___________________________________________________
___________________________________________
(*Authorized signature)
(Type or print name and capacity)
___________________________________________________
___________________________________________
(*Authorized signature)
(Type or print name and capacity)
Form No. MLPA-10 (2 of 3)