Sample Format For The Articles Of Cancellation Of The Certificate Of Registration For A Foreign Limited Liability Company Page 2

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TENTH: The Company is not the entity surviving from a merger, and the surviving
entity chooses not to continue to transact business in the District. In accordance with the
D.C. Limited Liability Company Act of 1994, a copy of the instrument of merger, duly
authenticated by [identify the official having custody of limited liability company records
in the state, country or other foreign jurisdiction under the laws of which the merger was
effected], has been, or will be, delivered to the Superintendent of Corporations within 30
days of the effective date of the merger.
DATE: _________20_____
________________________________________________________________________
Identify the limited liability company
BY:
________________________________________________________________________
Use a separate signature line for each authorized person required to participate in
executing the Articles of Cancellation pursuant to the company's governing document
MAIL TO:
DEPARTMENT OF CONSUMER AND REGULATORY AFFAIRS
BUSINESS AND PROFESSIONAL LICENSING ADMINISTRATION
CORPORATIONS DIVISION
941 NORTH CAPITOL STREET, N.E.
WASHINGTON, D.C. 20002
FEES DUE
Filing Fee ....$150
Make Check Payable to D.C. Treasurer
202-442-4432

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