Articles Of Merger Involving Domestic Corporations, Foreign Corporations Or Foreign Other Entities Form - The Commonwealth Of Massachusetts Page 4

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COMMONWEALTH OF MASSACHUSETTS
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Boston, Massachusetts 02108-1512
Articles of Merger Involving Domestic Corporations,
Foreign Corporations or Foreign Other Entities
(General Laws Chapter 156D, Section 11.06; 950 CMR 113.37)
I hereby certify that upon examination of these articles of merger, duly submitted
to me, it appears that the provisions of the General Laws relative thereto have been
complied with, and I hereby approve said articles; and the fi ling fee in the amount of
$______ having been paid, said articles are deemed to have been fi led with me this
day of ___________
day of ___________
day of
20 ______________ at a.m./p.m.
time
Eff ective date: _________________________________________________
(must be within 90 days of date submitted)
WILLIAM FRANCIS GALVIN
Secretary of the Commonwealth
Examiner
Filing fee: Minimum $250
Name approval
TO BE FILLED IN BY CORPORATION
Contact Information:
C
___________________________________________________________
#A.R.
___________________________________________________________
___________________________________________________________
Telephone: ___________________________________________________
Email: ______________________________________________________
Upon fi ling, a copy of this fi ling will be available at If the
document is rejected, a copy of the rejection sheet and rejected document will be
available in the rejected queue.

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