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BCA 11.25
FORM
(rev. Dec. 2003)
ARTICLES OF MERGER,
CONSOLIDATION OR EXCHANGE
Business Corporation Act
Secretary of State
Department of Business Services
501 S. Second St., Rm. 350
Springfield, IL 62756
217-782-6961
Remit payment in the form of a
check or money order payable
to Secretary of State.
Filing fee is $100, but if merger or
consolidation involves more than two
corporations, submit $50 for each
additional corporation.
_____________________________ File #___________________________
Filing Fee: $_________________ Approved: ________
———— Submit in duplicate ———— Type or Print clearly in black ink ———— Do not write above this line ————
NOTE: Strike inapplicable words in Items 1, 3, 4 and 5.
1. Names of the orations proposing to
merge.
1. Names of Corporations proposing to
consolidate
and State or Country of incorporation.
1. Names of the coations proposing to
exchange shares
Name of Corporation
State or Country
Corporation
of Incorporation
File Number
___________________________________________
________________________
_______________________
___________________________________________
________________________
_______________________
___________________________________________
________________________
_______________________
___________________________________________
________________________
_______________________
2. The laws of the state or country under which each Corporation is incorporated permits such merger, consolidation or
exchange.
3. a. Name of the
surviving
3. a. Name of the
new
corporation: ______________________________________________________________
3. a. Name of the
acquiring
b. Corporation shall be governed by the laws of: _______________________________________________________
For more space, attach additional sheets of this size.
4. Plan of
merger
consolidation exchange is as follows:
4. Plan of consolidation is as follows:
4. Plan of
exchange
is as follows:
Page 1
Printed by authority of the State of Illinois. January 2015 — 1 — C 195.13