Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Articles Of Merger Or Share Exchange Form. This is a Indiana form and can be use in Corporations Secretary Of State.
Loading PDF...
Tags: Articles Of Merger Or Share Exchange, 39036, Indiana Secretary Of State, Corporations
ARTICLES OF MERGER
CONNIE LAWSON
SECRETARY OF STATE
CORPORATIONS DIVISION
302 W. Washington Street, Room E018
Indianapolis, Indiana 46204
Telephone: (317) 232-6576
State Form 39036 (R9 / 4-12)
Approved by State Board of Accounts, 1995
INSTRUCTIONS:
Use 8 1/2" x 11" white paper for attachments.
Present original and one (1) copy to the address in upper right corner of this form.
Please TYPE or PRINT.
Please visit our office on the web at www.sos.in.gov.
Indiana Code 23-1-40-1 et. seq.
FILING FEE: $90.00
ARTICLES OF MERGER / SHARE EXCHANGE
OF
(hereinafter "the nonsurviving corporation(s)")
INTO
(hereinafter "the surviving corporation")
ARTICLE I - SURVIVING CORPORATION
SECTION 1:
The name of the corporation surviving the merger is ____________________________________________________________________
and such name
has
has not (designate which) been changed as a result of the merger.
SECTION 2:
a. The surviving corporation is a domestic corporation existing pursuant to the provisions of the Indiana Business Corporation Law incorporated on
(month, day, year) _____________________________________________ .
b. The surviving corporation is a foreign corporation incorporated under the laws of the State of _______________________________________ and
qualified
not qualified (designate which) to do business in Indiana.
If the surviving corporation is qualified to do business in Indiana, state the date of qualification (month, day, year): ___________________________ .
(If Application for Certificate of Authority is filed concurrently herewith state "Upon approval of Application for Certificate of Authority".)
ARTICLE II - NONSURVIVING CORPORATION (S)
The name, state of incorporation, and date of incorporation or qualification (if applicable) respectively, of each Indiana domestic corporation
and Indiana qualified foreign corporation, other than the survivor, which is party to the merger are as follows:
Name of Corporation
State of Domicile
Date of Incorporation or qualification in Indiana, if applicable (month, day,year)
Name of Corporation
State of Domicile
Date of Incorporation or qualification in Indiana, if applicable (month, day,year)
Name of Corporation
State of Domicile
Date of Incorporation or qualification in Indiana, if applicable (month, day,year)
ARTICLE III - PLAN OF MERGER OR SHARE EXCHANGE
The Plan of Merger or Share Exchange, containing such information as required by Indiana Code 23-1-40-1(b), is set forth in "Exhibit A", attached
hereto and made a part hereof.
Page 1 of 2
American LegalNet, Inc.
www.FormsWorkFlow.com
ARTICLE IV - MANNER OF ADOPTION AND VOTE OF SURVIVING CORPORATION (Must complete Section 1 or 2)
SECTION 1:
Shareholder vote not required.
The merger / share exchange was adopted by the incorporators or board of directors without shareholder action and shareholder action was not
required.
SECTION 2:
Vote of shareholders (Select either A or B)
The designation (i.e., common, preferred or any classification where different classes of stock exist), number of outstanding shares, number of votes
entitled to be cast by each voting group entitled to vote separately on the merger / share exchange and the number of votes of each voting group
represented at the meeting is set forth below:
A. Unanimous written consent executed on __________________________ 20____ and signed by all shareholders entitled to vote.
B. Vote of shareholders during a meeting called by the Board of Directors.
TOTAL
A
B
C
DESIGNATION OF EACH VOTING GROUP (i.e. preferred and common)
NUMBER OF OUTSTANDING SHARES
NUMBER OF VOTES ENTITLED TO BE CAST
NUMBER OF VOTES REPRESENTED AT MEETING
SHARES VOTED IN FAVOR
SHARES VOTED AGAINST
ARTICLE V - MANNER OF ADOPTION AND VOTE OF NONSURVIVING CORPORATION (Must complete Section 1 or 2)
SECTION 1:
Shareholder vote not required.
The merger / share exchange was adopted by the incorporators or board of directors without shareholder action and shareholder action was not
required.
SECTION 2:
Vote of shareholders (Select either A or B)
The designation (i.e., common, preferred or any classification where different classes of stock exist), number of outstanding shares, number of votes
entitled to be cast by each voting group entitled to vote separately on the merger / share exchange and the number of votes of each voting group
represented at the meeting is set forth below:
A. Unanimous written consent executed on __________________________ 20____ and signed by all shareholders entitled to vote.
B. Vote of shareholders during a meeting called by the Board of Directors.
TOTAL
A
B
DESIGNATION OF EACH VOTING GROUP (i.e. preferred and common)
NUMBER OF OUTSTANDING SHARES
NUMBER OF VOTES ENTITLED TO BE CAST
NUMBER OF VOTES REPRESENTED AT MEETING
SHARES VOTED IN FAVOR
SHARES VOTED AGAINST
In Witness Whereof, the undersigned being the ______________________________________________________ of the surviving corporation
Officer or Chairman of Board
executes these Articles of Merger / Share Exchange and verifies, subject to penalties of perjury that the statements contained herein are true,
this __________________ day of _______________________________, 20 ______ .
Signature
Printed name
Page 2 of 2
American LegalNet, Inc.
www.FormsWorkFlow.com
C