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Articles Of Merger Form. This is a Hawaii form and can be use in Business Registration Secretary Of State.
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Tags: Articles Of Merger, X-12, Hawaii Secretary Of State, Business Registration
FORM X-12
7/2008
WWW.BUSINESSREGISTRATIONS.COM
Nonrefundable Filing Fee: $100.00
* Nonprofit: $50.00
STATE OF HAWAII
DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS
Business Registration Division
335 Merchant Street
Mailing Address: P.O. Box 40, Honolulu, Hawaii 96810
*X12*
Phone No. (808) 586-2727
ARTICLES OF MERGER
(Section 414-315, 414D-203, 425-204, 425E-1107, 428-905, Hawaii Revised Statutes)
PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK
The undersigned, certify as follows:
1.
The names and state of formation of the entities proposing to merge (including the survivor) are:
(1) ___________________________________________________________________________________________________________
(Type/Print Name of Entity)
a (check one):
Limited Partnership
Profit Corp.
LLC
Professional Corp.
Nonprofit Corp.
LLP (If LLP must also check General Partnership)
General Partnership
LLLP
formed under the laws of: __________________________________ ;
(State)
(2) ___________________________________________________________________________________________________________
(Type/Print Name of Entity)
a (check one):
Limited Partnership
Profit Corp.
LLC
Professional Corp.
Nonprofit Corp.
LLP (If LLP must also check General Partnership)
General Partnership
LLLP
formed under the laws of: __________________________________ ;
(State)
(3)___________________________________________________________________________________________________________
(Type/Print Name of Entity)
a (check one):
Limited Partnership
Profit Corp.
LLC
Professional Corp.
Nonprofit Corp.
LLP (If LLP must also check General Partnership)
General Partnership
LLLP
formed under the laws of: __________________________________ ;
(State)
(4) ___________________________________________________________________________________________________________
(Type/Print Name of Entity)
a (check one):
Limited Partnership
Profit Corp.
LLC
Professional Corp.
Nonprofit Corp.
LLP (If LLP must also check General Partnership)
General Partnership
LLLP
formed under the laws of: __________________________________ .
(State)
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FORM X-12
7/2008
2.
The name, state of formation and address of the surviving entity is:
______________________________________________________________________________
_________________________
(Type/Print Name of Entity)
(State)
__________________________________________________________________________________________________________
(Type/Print Street Address)
3.
The Plan of Merger has been approved in accordance with the applicable laws of each entity that is a party to this merger.
4.
Check one:
a.
b.
5.
Changes to the organizing articles of the surviving entity to be effected by the merger are attached.
The organizing articles of the surviving entity shall not be amended pursuant to this merger.
All entities party to this merger agree:
a.
That the surviving entity may be served with process in this State in any action or proceeding for the enforcement
of any liability or obligation of any entity previously subject to suit in this State which is to merge, and irrevocably
appoints the following as its agent to accept service of process in any such proceeding.
__________________________________________________________________
(Name of Agent)
___________________
(State)
___________________________________________________________________________________________
(Street Address in Hawaii of Agent)
b.
6.
For the enforcement of the right of any dissenting member, shareholder, or partner to receive payment for their
interest against the surviving entity.
The merger is effective on the date and time of filing the Articles of Merger or at a later date and time, no more than 30
days after the filing, if so stated. Check one of the following statements:
Merger is effective on the date and time of filing the Article of Merger.
Merger is effective on ________________________________________________ , at ___________________. m. ,
Hawaiian Standard Time, which date is not later than 30 days after the filing of the Articles of Merger.
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FORM X-12
7/2008
We certify under the penalties of Section 414-20, 414D-12, 425-13, 425-172, 425E-208, and 428-1302, Hawaii Revised
Statutes, as applicable, that we have read the above statements, we are authorized to sign this Articles of Merger, and that the
above statements are true and correct.
Signed this ____________day of ___________________________________, __________
Surviving entity: __________________________________________________________________________________________________
(Type/Print Entity Name)
_______________________________________________________
________________________________________________________
(Signature)
(Type/Print Name & Title)
Merging entity(s): _________________________________________________________________________________________________
(Type/Print Entity Name)
_______________________________________________________
________________________________________________________
(Signature)
(Type/Print Name & Title)
Merging entity(s): _________________________________________________________________________________________________
(Type/Print Entity Name)
_______________________________________________________
________________________________________________________
(Signature)
(Type/Print Name & Title)
Merging entity(s): _________________________________________________________________________________________________
(Type/Print Entity Name)
_______________________________________________________
(Signature)
________________________________________________________
(Type/Print Name & Title)
SEE INSTRUCTIONS ON REVERSE SIDE
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FORM X-12
7/2008
Instructions: Articles must be typewritten or printed in black ink, and must be legible. All signatures must be in black ink.
Submit articles together with the appropriate fee.
Execution:
For corporations, document must be signed by at least one officer of the corporation.
For general partnerships must be signed by at least one general partner.
For limited partnerships must be signed by at least one general partner.
For LLC, must be signed and certified by at least one manager of a manager-managed company or by at least one member of a
member-managed company.
For LLP, must be signed and certified by at least one partner.
For LLLP, must be signed and certified by at least one general partner.
Line 1. State the name, type of entity and state of formation of the entities proposing to merge, including the surviving entity.
Line 2. State the name, address and state of formation of the surviving entity.
Line 3. The statement that the Plan of Merger was approved by each entity involved in the merger is required.
Line 4. Any changes to the organizing articles of the surviving entity to be effected by the merger must be attached.
Attachment must be typewritten or printed in black ink on 8-1/2 x 11 white, bond paper and printed only on one side.
Line 5. State the name and Hawaii street address of the agent for service of process. The agent must be an individual
resident of Hawaii, a domestic entity, or a foreign entity authorized to transact business in the State of Hawaii. If agent
is an entity, list the state or country of incorporation/formation or organization of the agent.
Line 6. Check whether the merger is effective on the date and time of filing the Articles of Merger with the Department of
Commerce and Consumer Affairs, State of Hawaii, or effective on a future date. If a future date is selected, state the
effective date and time, which cannot be more than 30 days after the filing of the Articles of Merger.
Filing Fees: Filing Fees of $100.00 and $50.00* are not refundable. Make checks payable to DEPARTMENT OF
COMMERCE AND CONSUMER AFFAIRS. Dishonored Check Fee ($25).
*The filing fee is $50.00 if the surviving entity is nonprofit.
For any questions call (808) 586-2727. Neighbor islands may call the following numbers followed by 6-2727 and the # sign:
Kauai 274-3141; Maui 984-2400; Hawaii 974-4000, Lanai & Molokai 1-800-468-4644 (toll free).
Fax: (808) 586-2733
Email Address: breg@dcca.hawaii.gov
NOTICE: THIS MATERIAL CAN BE MADE AVAILABLE FOR INDIVIDUALS WITH SPECIAL NEEDS. PLEASE CALL THE
DIVISION SECRETARY, BUSINESS REGISTRATION DIVISION, DCCA, AT 586-2744, TO SUBMIT YOUR REQUEST.
ALL BUSINESS REGISTRATION FILINGS ARE OPEN TO PUBLIC INSPECTION. (SECTION 92F-11, HRS)
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