STATE OF ALABAMA FOREIGN ENTITY AMENDMENT TO REGISTRATION: CERTIFICATE/STATEMENT OF MERGER Foreign Entity Merger/F2F - 1/2019 Page 1 of 2 PURPOSE: In order to change the registration of a foreign entity (any entity formed outside of Alabama) to reflect a merger with another foreign entity, the entity must deliver to the Secretary of State for filing this form along with the duly certified copy of the certificate/statement of merger filed in the jurisdiction(s) where the entities were formed pursuant to Section 10A, Chapter 1, Articles 7 and 8, Code of Alabama 1975. INSTRUCTIONS: Mail a signed original of this completed Amendment to Registration and the filing fee of $100.00 (credit card, check, or money order) to the Secretary of State, Business Services, P.O. Box 5616, Montgomery, Alabama, 36103-5616 or you may email your application to foreign.entities@sos.alabama.gov . If you are sending this filing via email you may complete the email return on the payment form and receive a copy by return email. If you are mailing/couriering the application and would like an acknowledgement include a copy and postage paid self-addressed envelope. Expedited processing is $200.00 (a $100.00 expedite fee plus the $100.00 filing fee) and is completed within approximately 24 hours after receipt of the filing. The Amendment will not be registered if the credit card does not authorize and will be removed from the index if the check is dishonored ($30 fee). All processing instructions are complete in this form and Payment Option & Filing Instructions; cover letters are not necessary and will not be reviewed. The information completing this form must be typed. 1. Information on the merging entity (this is the entity which will cease to exist): Is the entity currently registered to do business in Alabama: Yes No If yes, the Entity ID number issued by Alabama: - (Format 000-000) * Merging entity222s state/country of formation: Date: / / The name of the entity as registered in Alabama (if not registered the legal name in the jurisdiction of formation): Additional merging entities attached 226 must provide same information as above. 2. Information on the surviving entity (this is the entity which will continue to exist): Is the entity currently registered to do business in Alabama: Yes No If yes, the Entity ID number issued by Alabama: - (Format 000-000) * The name of the entity as registered in Alabama (if not registered the legal name in the jurisdiction of formation): (For SOS Office Use Only) American LegalNet, Inc. www.FormsWorkFlow.com FOREIGN ENTITY AMENDMENT TO REGISTRATION: CERTIFICATE/STATEMENT OF MERGER Foreign Entity Merger/F2F - 1/2019 Page 2 of 2 *INSTRUCTION TO OBTAIN ID NUMBER TO COMPLETE FORM: If you do not have this number immediately available (it is on the face of your original registration filing), you may obtain it on our website at www.sos.alabama.gov Business Services, Business Entity Search, Search by Entity Name, enter the registered name of the entity in the appropriate box, and enter. The six (6) digit number containing a dash to the left of the name is the entity ID number. If you click on that number, you can check the details page to make certain that you have the correct entity 226 this verification step is strongly recommended. 3. Surviving entity222s jurisdiction of formation: 4. Date of the surviving entity222s formation in state/country of jurisdiction: / / (MM/DD/YYYY) 5. Any Amendments (within the merger) to the Surviving Entity222s formation documents are listed (if there are none you may simply type 223N/A224 or 223None224): Add additional pages if necessary. 6. The undersigned certifies that the surviving foreign entity exists as a valid entity of the type stated in the registered name under the laws of the entity222s jurisdiction of formation. 7. The undersigned certifies that the Merger was approved as required by the governing statute of the foreign entity222s state/country of formation. 8. Merger was filed/effective in the foreign entity222s jurisdiction on (MM/DD/YYYY). (Date must be a date prior to the file/effective date in Alabama.) Date stated within merger document. Demonstrates compliance with 10A-1-8.02(f) (2)(b). Date Typed Name and Title of Signature Below Signature of Person Authorized to Sign per 10A-1-4.01, Alabama Code In order to review the sections of the Code of Alabama 1975 referred to in this filing form you may access www.sos.alabama.gov Go to Records. Choose the Code of Alabama link to review. American LegalNet, Inc. www.FormsWorkFlow.com Foreign Amend/Merger Credit Card/Prepaid Account Payment Slip 226 1/2019 Secretary of State Credit Card or Prepaid Payment Option/Return/Hold Sheet: If you do not send an acknowledgement copy and a pre-addressed postage paid envelope with the filing or provide an email return on this form, you will not receive a credit card or prepaid account receipt from the Secretary of State222s Office. Hold for pickup request will have the receipt attached. The document of record will be stamped showing the receipt of the filing fee and expedite fee but will not show convenience fees which will be charged; (generally these fees are between 2% and 5% of the total charge). Information MUST be typed or filing will be returned without review. Entity Name: AL Entity ID #, required for all filings other than formation/registration: - (ex: 000-000) Service Requested: X $100.00 Foreign Registration Amendment/Merger filing fee $100.00 Expedited Processing fee (must be included with initial filing) Hold at Front Desk for Pick-up by: (Service providers who run couriers for pick-up) There is no notification service and there will not be a call for pick-up. Return via email (only one email): No paper copy will be sent if email is provided. Charge fees to prepaid account: Account Number and Account Name Typed Name & Signature of Authorized Individual on Account Credit Card Type: (Visa, MC, Discover & AmEx) Card Number: Expiration Mo/Yr: / (MM/YY) Card Holder Name: Complete Billing Address: Street or PO City State Zip Signature of Card Holder: MUST be Signature of Card Holder American LegalNet, Inc. www.FormsWorkFlow.com