Articles Of Merger For Domestic Business Corporations Form Page 2

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Version 2; 04-30-09
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District of Columbia Government
Corporations Division
PO Box 92300
Washington DC 20090
Articles of Merger of
Pursuant to the provisions of Title 29, Chapter 1 of the Code of Laws of the District of Columbia, the undersigned corporation adopts
the following Articles of Merger for the purpose of merging them into one of such corporations:
1.
The following Plan of Merger was approved by the shareholders of each of the undersigned corporations in the manner
prescribed by Title 29, Chapter 1 of the Code of Laws of the District of Columbia.
As to each of the undersigned corporations the number of shares outstanding, and if there are two or more classes of shares
2.
issued the designation and number of outstanding shares of each such class.
ENTITLED TO VOTE AS A CLASS
NAME OF CORPORATION
NUMBER OF SHARES
DESIGNATION OF CLASS
NUMBER OF SHARES
OUTSTANDING
3.
As to each of the undersigned corporations, the total number of shares voted for and against such Plan, respectively, and if there are two o
more classes of shares issues, the number of shares of each such class voted for and against such Plan, respectively, is as follows:
NUMBER OF SHARES ENTITLE TO VOTE AS CLASS
NAME OF CORPORATION
TOTAL
TOTAL VOTED
CLASS
VOTED FOR
VOTED AGAINST
VOTED FOR
AGAINST
If you sign this form, you agree that you understand that anyone who makes a false statement anywhere on it can be punished by
criminal penalties of a fine up to $1000, imprisonment up to 180 days, or both, under DCOC § 22-2405.
Name of President or Vice-President of Corporation
Date
Signature
Mail all forms and required payment
to:
Department of Consumer and Regulatory Affairs
Corporations Division
PO Box 92300
Washington, DC 20090
Phone: (202) 442-4400
Please check dcra.dc.gov to view organizations required to register, to search business names, to get step-by-step guidelines to register an
organization, to search registered organizations, and to download forms and documents. Just click on "Corporate Registrations."

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