Kentucky Secretary of State TREY GRAYSON
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Division of Corporations BUSINESS FILINGS P.O. Box 718 Frankfort, KY 40602 (502) 564-2848 http://www.sos.ky.gov/
Statement of Merger
SMG
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1.
The following partnerships [and limited partnerships] were parties to a merger and have merged into the surviving entity:
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2.
The name of the surviving entity is:
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3.
The street address of the surviving entity's chief executive office is (address must be a street address, not a post office box)
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4.
The street address of the partnership office in Kentucky, if there is one:
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5.
The surviving entity is: a partnership a limited partnership
I declare under penalty of perjury under the laws of the state of Kentucky that the foregoing is true and correct. Executed by two partners _____________________________ (Day/Month/Year)
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(Signature)
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(Signature)
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(Type or Print Name)
(Type or Print Name)
Instructions: Submit this form with one (1) exact or conformed copy. The filing fee is $40.00. Please make check payable to the "Kentucky State Treasurer." All information must be completed or this document will not be accepted for filing.
SMG (07/2006)