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Statement Of Merger Form. This is a Colorado form and can be use in Corporation Secretary Of State.
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Tags: Statement Of Merger, Colorado Secretary Of State, Corporation
Document processing fee
If document is filed on paper
$150.00
If document is filed electronically
Currently Not Available
Fees & forms/cover sheets
are subject to change.
To file electronically, access instructions
for this form/cover sheet and other
information or print copies of filed
documents, visit www.sos.state.co.us
and select Business Center.
Paper documents must be typewritten or machine printed.
ABOVE SPACE FOR OFFICE USE ONLY
Statement of Merger
filed pursuant to §7-90-301, et seq. and §7-90-203 Colorado Revised Statutes (C.R.S.)
1. Entity name or true name of each
merging entity
(other than the surviving entity)
______________________________________________________
(Enter name exactly as it appears in the records of the secretary of state if applicable)
Form of entity
______________________________________________________
Jurisdiction under which the
entity was formed
______________________________________________________
ID number (if applicable)
_____________________
Principal office street address:
______________________________________________________
(Street name and number)
______________________________________________________
__________________________ _____ ____________________
(City)
(State)
(Postal/Zip Code)
_______________________ ______________
(Province – if applicable)
(Country – if not US)
Principal office mailing address ______________________________________________________
(if different from above)
(Street name and number or Post Office Box information)
______________________________________________________
__________________________ _____ ____________________
(City)
(State)
(Postal/Zip Code)
_______________________ ______________
(Province – if applicable)
Entity name or true name
(other than the surviving entity)
(Country – if not US)
______________________________________________________
(Enter name exactly as it appears in the records of the secretary of state if applicable)
Form of entity
Jurisdiction under which the
entity was formed
______________________________________________________
ID number (if applicable)
MERGE
______________________________________________________
_____________________
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Principal office street address
______________________________________________________
(Street name and number)
______________________________________________________
__________________________ _____ ____________________
(City)
(State)
(Postal/Zip Code)
_______________________ ______________
(Province – if applicable)
(Country – if not US)
Principal office mailing address ______________________________________________________
(if different from above)
(Street name and number or Post Office Box information)
______________________________________________________
__________________________ _____ ____________________
(City)
(State)
(Postal/Zip Code)
_______________________ ______________
(Province – if applicable)
Entity name or true name
(other than the surviving entity)
(Country – if not US)
____________________________________________________
(Enter name exactly as it appears in the records of the secretary of state if applicable)
Form of entity
______________________________________________________
Jurisdiction under which the
entity was formed
______________________________________________________
ID number (if applicable)
_____________________
Principal office street address
______________________________________________________
(Street name and number)
______________________________________________________
__________________________ _____ ____________________
(City)
(State)
(Postal/Zip Code)
_______________________ ______________
(Province – if applicable)
(Country – if not US)
Principal office mailing address ______________________________________________________
(if different from above)
(Street name and number or Post Office Box information)
______________________________________________________
__________________________ _____ ____________________
(City)
(State)
(Postal/Zip Code)
_______________________ ______________
(Province – if applicable)
(Country – if not US)
(If there are more than three merging entities, mark this box
and include an attachment stating the entity name, ID
number, and the principal office address of each additional merging entity.)
2. Entity name of the surviving entity
______________________________________________________
(Enter name exactly as it appears in the records of the secretary of state if applicable)
Form of entity
Jurisdiction under which the
entity was formed
MERGE
______________________________________________________
______________________________________________________
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ID number (if applicable)
_____________________
Principal office street address
______________________________________________________
(Street name and number)
______________________________________________________
__________________________ _____ ____________________
(City)
(State)
(Postal/Zip Code)
_______________________ ______________
(Province – if applicable)
(Country – if not US)
Principal office mailing address ______________________________________________________
(if different from above)
(Street name and number or Post Office Box information)
______________________________________________________
__________________________ _____ ____________________
(City)
(State)
(Postal/Zip Code)
_______________________ ______________
(Province – if applicable)
(Country – if not US)
3. The merging entities are merged into the surviving entity.
4. If one or more of the merging entities is a registrant of a trademark described in a filed document in the
and state below the document number of each such filed
records of the secretary of state, mark this box
document.
Document number
____________________
Document number
____________________
(If more than two trademarks, mark this box
and include an attachment stating the additional document numbers.)
5. Additional information may be included. If applicable, mark this box
the additional information.
6. (Optional) Delayed effective date:
and include an attachment stating
______________________
(mm/dd/yyyy)
Notice:
Causing this document to be delivered to the secretary of state for filing shall constitute the affirmation or
acknowledgment of each individual causing such delivery, under penalties of perjury, that the document is the
individual's act and deed, or that the individual in good faith believes the document is the act and deed of the
person on whose behalf the individual is causing the document to be delivered for filing, taken in conformity
with the requirements of part 3 of article 90 of title 7, C.R.S., the constituent documents, and the organic
statutes, and that the individual in good faith believes the facts stated in the document are true and the
document complies with the requirements of that Part, the constituent documents, and the organic statutes.
This perjury notice applies to each individual who causes this document to be delivered to the secretary of
state, whether or not such individual is named in the document as one who has caused it to be delivered.
7. Name(s) and address(es) of the
individual(s) causing the document
to be delivered for filing:
____________________ ______________ ______________ _____
(Last)
(First)
(Middle)
(Suffix)
_______________________________________________________
MERGE
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(Street name and number or Post Office Box information)
______________________________________________________
__________________________ _____ ____________________
(City)
(State)
(Postal/Zip Code)
_______________________ ______________
(Province – if applicable)
(Country – if not US)
(The document need not state the true name and address of more than one individual. However, if you wish to state the name and address
of any additional individuals causing the document to be delivered for filing, mark this box
name and address of such individuals.)
and include an attachment stating the
Disclaimer:
This form, and any related instructions, are not intended to provide legal, business or tax advice, and are
offered as a public service without representation or warranty. While this form is believed to satisfy minimum
legal requirements as of its revision date, compliance with applicable law, as the same may be amended from
time to time, remains the responsibility of the user of this form. Questions should be addressed to the user’s
attorney.
MERGE
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