Form Cr118 - Articles Of Share Exchange

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Phone: (503) 986-2200
Articles of Share Exchange
Fax: (503) 378-4381
For office use only
Secretary of State
Corporation Division
255 Capitol St. NE, Suite 151
Salem, OR 97310-1327
Registry Number: ________________________________
Attach Additional Sheet if Necessary
Reset Form
Please Type or Print Legibly in Black Ink
1) N
C
P
E
S
AME OF
ORPORATIONS
ROPOSING TO
XCHANGE
HARES
A. N
C
W
S
A
B
A
AME OF THE
ORPORATION
HOSE
HARES
RE
EING
CQUIRED
B. N
C
A
S
C
A A
AME OF THE
ORPORATION
CQUIRING THE
HARES OF
ORPORATION
BOVE
2)
A copy of the plan of exchange is attached.
3) V
S
C
A W
S
A
B
A
OTE OF THE
HAREHOLDERS OF
ORPORATION
HOSE
HARES
RE
EING
CQUIRED
Class or series
Number of shares
Number of votes
Number of votes cast
Number of votes cast
of shares
outstanding
entitled to be cast
FOR
AGAINST
4) E
C
A
XECUTION FOR
ORPORATION
Printed Name
Signature
Title
4) E
C
B
XECUTION FOR
ORPORATION
Printed Name
Signature
Title
6) C
N
D
P
N
– I
A
C
ONTACT
AME
AYTIME
HONE
UMBER
NCLUDING
REA
ODE
FEES
Make check for $10 payable to
“Corporation Division.”
NOTE: Filing fees may be paid
with VISA or MasterCard. The
card number and expiration date
should be submitted on a separate
sheet for your protection.
CR118 (Rev. 12/99)

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