State of Missouri
D WE S T ITE
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D AN
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Robin Carnahan, Secretary of State
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1. The name of each party to the proposed merger or consolidation is
2. The date at which the notice of merger or consolidation was filed with the Office of the Secretary of State of Missouri is
3. The proposed merger or consolidation was not consummated and has hereby been abandoned.
In Affirmation thereof, the facts stated above are true and correct: (The undersigned understands that false statements made in this filing are subject to the penalties provided under Section 575.040, RSMo)
Authorized Signature
Authorized Signature
Authorized Signature
Name and address to return filed document: Name: Address: City, State, and Zip Code:
LLC-2 (11/2008)
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Corporations Division PO Box 778 / 600 W. Main St., Rm. 322 Jefferson City, MO 65102
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Notice of Abandonment of Merger or Consolidation of Limited Liability Company
(Submit with filing fee of $25.00)
Month/Day/Year
Printed Name
Date
Printed Name
Date
Printed Name
Date