C&S 552 (Rev. 3/00)
MICHIGAN DEPARTMENT OF CONSUMER & INDUSTRY SERVICES
CORPORATION AND LAND DEVELOPMENT BUREAU
Date Received
(FOR BUREAU USE ONLY)
This document is effective on the date filed, unless a
subsequent effective date within 90 days after received
date is stated in the document.
Name
Address
City
State
Zip Code
EFFECTIVE DATE:
Ç
Document will be returned to the name and address you enter above.
È
If left blank document will be mailed to the registered office.
CERTIFICATE OF ABANDONMENT OF MERGER/CONSOLIDATION/SHARE EXCHANGE
For use by Domestic Corporations
(Please read information and instructions on reverse side)
Pursuant to the provisions of Act 284, Public Acts of 1972 (profit corporations), or Act 162, Public Acts of 1982 (nonprofit
corporations), the undersigned corporation executes the following Certificate:
1. The name of the corporation is:
2. The identification number assigned by the Bureau is:
3. The Certificate of Merger or Consolidation or Share Exchange which is to be abandoned, was filed on the
___________ day of __________________________________, __________.
4. The effective date specified in the Certificate of Merger or Consolidation or Share Exchange was:
,
.
5. The foregoing merger or consolidation or share exchange is hereby abandoned pursuant to the provisions for
abandonment set forth in the plan of merger or consolidation or share exchange.
Profit Corporations
Nonprofit Corporations
Signed this
day of
,
Signed this
day of
,
By
By
(Signature of President, Vice-President, Chairperson or Vice-Chairperson)
(Signature of an authorized officer or agent)
(Type or Print Name)
(Type or Print Name)
(Type or Print Title)