For Office Use Only GENERAL PARTNERSHIP (Statement of Merger) Corporate Filings 312 Rosa L. Parks Ave. 6th Floor, William R. Snodgrass Tower Nashville, TN 37243 1. The names of each partnership or limited partnership that is a party to the merger are: 2. The name of the surviving entity into which the other partnerships or limited partnerships were merged is: 3. The street address of the surviving entity's chief executive office is: 4. The street address of one of the surviving entity's offices in Tennessee (if any) is: The execution of this statement constitutes an affirmation under the penalties of perjury that the undersigned has/have the authority to file this statement and that the contents of the statement are accurate. Signed and dated this _______ day of ____________________, _______ _________________________________ Signature _________________________________ Signature ________________________________ Printed Name ________________________________ Printed Name Note: A document filed by a partnership must be executed by at least two partners. Other documents must be executed by a partner or other person authorized by the Revised Uniform Partnership Act. SS-4518 Filing Fee: $20 RDA pending American LegalNet, Inc. www.FormsWorkFlow.com