Statement Of Merger - Colorado Secretary Of State

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THIS DOCUMENT MUST BE RECEIVED IN
THE SECRETARY OF STATE’S OFFICE ON
OR BEFORE MAY 25, 2007.
Document processing fee
If document is filed on paper
$150.00
If document is filed electronically
Currently Not Available
Fees & forms/cover sheets
are subject to change.
To file electronically, access instructions
for this form/cover sheet and other
information or print copies of filed
documents, visit
and select Business Center.
Paper documents must be typewritten or machine printed.
ABOVE SPACE FOR OFFICE USE ONLY
Statement of Merger
filed pursuant to §7-90-301, et seq. and
§7-90-203
Colorado Revised Statutes (C.R.S.)
1. Entity name or true name of each
merging entity
(other than the surviving entity)
______________________________________________________
(Enter name exactly as it appears in the records of the secretary of state if applicable)
Form of entity
______________________________________________________
Jurisdiction under which the
entity was formed
______________________________________________________
ID number
_____________________
(if applicable)
Principal office street address:
______________________________________________________
(Street name and number)
______________________________________________________
__________________________ _____ ____________________
(City)
(State)
(Postal/Zip Code)
_______________________ ______________
(Province – if applicable)
(Country – if not US)
Principal office mailing address ______________________________________________________
(if different from above)
(Street name and number or Post Office Box information)
______________________________________________________
__________________________ _____ ____________________
(City)
(State)
(Postal/Zip Code)
_______________________ ______________
(Province – if applicable)
(Country – if not US)
Entity name or true name
(other than the surviving entity)
______________________________________________________
(Enter name exactly as it appears in the records of the secretary of state if applicable)
Form of entity
______________________________________________________
MERGE
Page 1 of 4
Rev. 5/22/2007

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