Mail all forms and required payment to: Department of Consumer and Regulatory Affairs Corporations Division PO Box 92300 Washington, DC 20090 Phone: (202) 442 - 44 32 Corporate Online Services Information: Many corporate filings are available by using CorpOnline Service. Go to CorpOnline site at https://corp online .dcra.dc.gov , create the profile, access the online services main page and proceed. Online filers must pay by using the credit card. District of Columbia Government Corporations Division Abandonment of A Merger or Membership Exchange of Domestic Nonprofit Corporation Form DNP - 5 , Ver. 2 , April 201 8 . This form will allow a domestic nonprofit corporation at any time before the merger or membership exchange has become effective to abandon this transaction. Upon filing, the statement shall take effect and the merger or share exchange shall be deemed abandoned and shall not become effective. ENTITY T YPE / AUTHORITY FILING F E E Domestic Nonprofit Corporation : 247 29 409.08. Refer to Corporate Fee Schedule posted online; Under the provisions of the Title 29 of D.C. Code (Business Organizations Act), the domestic filing entity listed below hereby applies for a Certificate of Abandonment and for that purpose submits the statement below. 1. The names of the parties to the merger or membership exchange . 2 . T he date of filing of merger / membership exchange. 3 . T he merger or membership exchange has been abandoned in accordance with 247 29 - 4 09.08. If you sign this form you agree that anyone who makes a false statement can be punished by criminal penalties of a fine up to $1000, imprisonment up to 180 days, or both, under DCOC 247 22 - 2405; 4 .Name of the Governor or Authorized Person. 4A . Signature of the Governor or Authorized Person. American LegalNet, Inc. www.FormsWorkFlow.com