Certificate Of Merger Of Domestic Corporation And Foreign Limited Liability Company Page 2

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STATE OF DELAWARE
CERTIFICATE OF MERGER OF
DOMESTIC CORPORATION AND
FOREIGN LIMITED LIABILITY COMPANY
Pursuant to Title 8, Section 264(c) of the Delaware General Corporation Law, the
undersigned corporation executed the following Certificate of Merger:
FIRST: The name of the surviving corporation is _______________________________
_______________________________, a Delaware Corporation, and the name of the
limited liability company being merged into this surviving corporation is _____________
_________________________________a (list jurisdiction)__________________limited
liability company.
SECOND: The Agreement of Merger has been approved, adopted, certified, executed
and acknowledged by the surviving corporation and the merging limited liability
company.
THIRD: The name of the surviving corporation is _____________________________
_______________________________________________________________________.
FOURTH: The merger is to become effective on _______________________________.
FIFTH: The Agreement of Merger is on file at ________________________________
_______________________________________________________________________,
the place of business of the surviving corporation.
SIXTH: A copy of the Agreement of Merger will be furnished by the corporation
on request, without cost, to any stockholder of any constituent corporation or member
of any constituent limited liability company.
SEVENTH: The Certificate of Incorporation of the surviving corporation shall be its
Certificate of Incorporation.
IN WITNESS WHEREOF, said Corporation has caused this certificate to be signed by
an authorized officer, the______________ day of ________________,A.D., ________.
By:____________________________________
Authorized Officer
Name:____________________________________
Print or Type
Title:____________________________________

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