THIS DOCUMENT MUST BE RECEIVED IN
THE SECRETARY OF STATE’S OFFICE ON
OR BEFORE MAY 25, 2007.
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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