FORM Payment may be made by check payable to Secretary of State. If check is returned for any reason this filing will be void. Secretary of State Department of Business Services Limited Liability Division 501 S. Second St., Rm. 357 Springfield, IL 62756 217-524-8008 www.cyberdriveillinois.com October 2014 UPA-908 Illinois Uniform Partnership Act Partnership/Limited Liability Company Statement of Merger SUBMITINDUPLICATE Type or Print Clearly. $100.00 FILE #: This space for use by Secretary of State. Filing Fee: Approved: 1. Name of Entities proposing to merge: Name of Entity Type of Entity (Partnership or LLC) Domestic State or Country Illinois Secretary of State File # Name of Entity Type of Entity (Partnership or LLC) Domestic State or Country Illinois Secretary of State File # Name of Entity Type of Entity (Partnership or LLC) Domestic State or Country Illinois Secretary of State File # 2. The plan of merger has been approved and signed by each Partnership and Limited Liability Company that are parties to the merger. 3. Partnership Federal Employer Identification Number (F.E.I.N.) required: 4. a. Name of Surviving Entity: b. Address of Surviving Entity: c. File number of Survivor: d. Check one: Partnership or Limited Liability Company 5. Effective date of merger: (check one) a. o the filing date or b. o a later date, but not more than 30 days subsequent to the filing date: Month, Day, Year 6. If the surviving entity is a Limited Liability Company, indicate the changes necessary to its articles of organization as stated in the plan of merger. If the surviving entity is a Limited Liability Partnership, indicate the changes necessary to its statement of qualification as stated in the plan of merger. Printed by authority of the State of Illinois. Npvember 2014 -- 1 -- UPA4.5 American LegalNet, Inc. www.FormsWorkFlow.com UPA-908 7. Name of foreign limited liability partnership or foreign limited liability company with organization date and date of qualification in Illinois: Name of Entity Jurisdiction Date Organized Date qualified in Illinois 8. If the surviving entity is not a partnership or limited liability company organized under the laws of this State, the entity agrees that it may be served with process in this State and is subject to liability in any action or proceeding for the enforcement of any liability or obligation of any partnership or limited liability company which is a party to the merger or which was previously subject to suit in this State, and for the enforcement, as provided in this Act, of the right of partner of any partnership or members of any limited liability company, as the case may be, against the surviving entity. 9. The undersigned entities caused these articles to be signed by the duly authorized person, each of whom affirms, under the penalty of perjury, that the facts herein stated are true, correct and complete. Executed on the Date of Month , Year by a partner of each merging Partnership and each Manager or Member of the merging Limited Liability Company. 1. Signature 2. Signature Name and Title (type or print) Name and Title (type or print) Name of Partnership or Limited Liability Company Name of Partnership or Limited Liability Company 3. Signature 4. Signature Name and Title (type or print) Name and Title (type or print) Name of Partnership or Limited Liability Company Name of Partnership or Limited Liability Company For additional space, continue in the same format on a plain white 8.5"x11" sheet of paper. American LegalNet, Inc. www.FormsWorkFlow.com