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, 42199, Indiana Secretary Of State, Corporations
ARTICLES OF MERGER OF NONPROFIT CORPORATIONS
Sta te Fo rm 4 2199 (R5/1-03) Corp orate Form No. 364- 6
Approved by State Board of Acco unts 199 5
TODD ROKITA
S ECRE TARY O F STATE
CORPO RATIONS DIVISIO N
3 02 W. Washin gton S tree t, Rm. E0 18
India napoli s, IN 46 204
Telep hone: (31 7) 232-65 76
Indiana Code 23-17-19-4
INSTRUCTIONS:
Use 8 1/2" x 11" white paper for attachments.
Present original and one copy to address in upper right corner of this form.
Please TYPE or PRINT.
Please visit our office on the web at www.sos.in.gov.
FILING FEE: $30.00
ARTICLES OF MERGER / SHARE EXCHANGE
(hereinafter "the nonsurviving corporation")
INTO
(hereinafter "the surviving corporation")
In accordance with the requirements of the Indiana Nonprofit Corporation Act of 1991(hereinafter known as the "Act"), the undersigned
corporations desiring to effect a merger, set forth the following facts:
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 Act incorporated on ___________________________.
b. The sur viving cor poration 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 ______________________________________
.
(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, 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)
Name of Corporation
State of Domicile
Date of Incorporation or qualification in Indiana (if applicable)
Name of Corporation
State of Domicile
Date of Incorporation or qualification in Indiana (if applicable)
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.
American LegalNet, Inc.
www.USCourtForms.com
ARTICLE IV - MANNER OF ADOPTION AND VOTE OF SURVIVING CORPORATION (Must complete Section 1, 2, 3 or 4)
SECTION 1: Membership vote not required
The merger was adopted by the incorporators or board of directors without membership action and membership action was
not required.
SECTION 2: Vote of members
The designation, number of outstanding members, number of votes entitled to be cast by each class entitled to vote
separa tely on the plan, and number o f vo tes of each class represented at the me eting is set forth below.
TOTAL
A
B
C
Designation of each class (if applicable)
Number of outstanding memberships
Number of votes entitled to be cast
Number of votes represented at meeting
Number of members voted in favor
Number of members voted against
SECTION 3: Written consent executed on _________________________________________ and signed by at least 80% of all members.
SECTION 4: Approval by third party
If the corporation's articles of incorporation require the plan of merger to be approved in writing by a specified person other
th an th e bo ard of d irectors, the corpo ration has ob ta ined the thi rd party's app roval pursu ant to IC 2 3-17-19-3.
ARTICLE V - MANNER OF ADOPTION AND VOTE OF NONSURVIVING CORPORATION (Must complete Section 1 or 2)
SECTION 1: Membership vote not required
The merger was adopted by the incorporators or board of directors without membership action and membership action was
not required.
SECTION 2: Vote of members
The designation, number of outstanding members or delegates, number of votes entitled to be cast by each class entitled to
vote separately on th e pl an, and number of votes of ea ch class rep resented at the meeting is set forth bel ow.
TOTAL
A
B
C
Designation of each class (if applicable)
Number of outstanding memberships
Number of votes entitled to be cast
Number of votes represented at meeting
Number of members voted in favor
Number of members voted against
In Witness Whereof, the undersigned being the ________________________________________________________ of the surviving
Title
corporation executes these Articles of Merger and verifies, subject to penalties of perjury, that the statements contained herein are true,
this __________ day of ______________________________ , 20 _____.
S ignature
P rinted name
American LegalNet, Inc.
www.USCourtForms.com