Free $25.00 - Alaska

State of Alaska Department of Community and Economic Development Division of Banking, Securities, and Corporations CORPORATION SECTION PO Box 110808 Juneau AK 99811-0808

STATEMENT OF MERGER
Partnership and Limited Partnership
Name of the merging partnership or limited partnership; Alaska Entity # if applicable: State of domicile:

Name of the merging partnership or limited partnership:

Alaska Entity # if applicable:

State of domicile:

Attach an additional sheet to list additional merging entities. Name of the surviving partnership or limited partnership: Alaska Entity # if applicable:

Address of the surviving entity's chief executive office: Name: Mailing Address: Physical Address if Mailing Address is a Post Office Box: City: Address of the principal office of the partnership in Alaska: Name: Mailing Address: Physical Address if Mailing Address is a Post Office Box: City: Check one: o The surviving entity is a partnership. o The surviving entity is a limited partnership. Foreign Partnerships must attach a certified copy of the statement from the state of domicile. A statement filed by a partnership must be executed by at least two partners or by a partner and another person authorized in the Statement of Partnership Authority. An individual who executes a statement as, or on behalf of, a partner or other person named as a partner in a statement shall personally declare under penalty of perjury that the contents of the statement are accurate. AK ZIP Code: AK ZIP Code:

08-505 (Rev. 8/5/04) ahl

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A person who files a statement shall promptly send a copy of the statement to every nonfiling partner and to any other person named as a partner in the statement. Failure to send a copy of a statement to a partner or other person does not limit the effectiveness of the statement as to a person who is not a partner.

Signature of Partner or Authorized Person

Printed Name

Title

Date

If you have specific legal questions or concerns about this filing, you are strongly advised to consult an attorney or other professional to assist you. Mail the completed Statement of Merger and the $25.00 filing fee (in U.S. dollars) to: State of Alaska Corporations Section PO Box 110808 Juneau, AK 99811 For additional information or forms please visit our web site at: www.corporations.alaska.gov

08-505 (Rev. 8/5/04) ahl

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AS 32.06.907. Statement of Merger. (a) After a merger, the surviving partnership or limited partnership may file a statement that one or more partnerships or limited partnerships have merged into the surviving entity. (b) A statement of merger must contain (1) the name of each partnership or limited partnership that is a party to the merger; (2) the name of the surviving entity into which the other partnerships or limited partnership are merged; (3) the street address of the surviving entity's chief executive office and of any office in this state; and (4) whether the surviving entity is a partnership or a limited partnership. (c) Except as otherwise provided in (d) of this section, in AS 32.06.302 property of the surviving partnership or limited partnership that before the merger was held in the name of another party to the merger is property held in the name of the surviving entity upon filing a statement of merger. (d) In AS 32.06.302 , real property of the surviving partnership or limited partnership that before the merger was held in the name of another party to the merger is property held in the name of the surviving entity upon recording a certified copy of the statement of merger in the office for recording transfers of the real property. (e) A filed and, if appropriate, recorded statement of merger, executed and declared to be accurate under AS 32.06.970

08-505 (Rev. 7/5/04) ahl

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