Free LLP/LLC Statement of Merger - Illinois

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FORM UPA-908
January 2008

Illinois Uniform Partnership Act
Limited Liability Partnership/Limited Liability Company Statement of Merger
Submit in duplicate. Please type or print clearly.

This space for use by Secretary of State.

Secretary of State Department of Business Services Limited Liability Division 501 S. Second St., Rm. 357 Springfield, IL 62756 217-785-8960 www.cyberdriveillinois.com

Payment must be made by check or money order payable to Secretary of State. This space for use by Secretary of State. Date: Assigned File #: Filing Fee: $100 Approved:

1. Name of Limited Liability Partnership and Limited Liability Company proposing to merge:
Name of Entity Type of Entity (LLP or LLC) Domestic State or County Illinois Secretary of State File #

Name of Entity

Type of Entity (LLP or LLC)

Domestic State or County

Illinois Secretary of State File #

Name of Entity

Type of Entity (LLP or LLC)

Domestic State or County

Illinois Secretary of State File #

2. The plan of merger has been approved and signed by each Limited Liability Partnership and Limited Liability Company that are parties to the merger. 3. Name of Surviving Entity, including whether or not the Surviving Entity is a Limited Liability Partnership or Limited Liability Company:

4. Terms and Conditions of Merger:

Printed by authority of the State of Illinois. January 2008 ­ 200 ­ UPA 4.3

5. Manner and basis for converting the interests of each party to the merger into interests, obligations, or other securities of the surviving entity, or into money or other property in whole or in part:

6. Street Address of Surviving Entity's Principal Place of Business:

The undersigned entities caused these articles to be signed by the duly authorized person, each of whom affirms, under the penalty of perjury, that the facts herein stated are true, correct and complete. Executed on the
Date

of
Month

,
Year

by 2 partner's of the merging Limited Liability

Partnership and the Manager or Member of the merging Limited Liability Company. 1.
Signature

2.

Signature

Name and Title (type or print)

Name and Title (type or print)

Name of Partnership or Limited Liability Company

Name of Partnership or Limited Liability Company

3.

Signature

4.

Signature

Name and Title (type or print)

Name and Title (type or print)

Name of Partnership or Limited Liability Company

Name of Partnership or Limited Liability Company

Please submit this form in duplicate along with $100 filing fee.
Signatures must be in BLACK INK on an original document. Carbon copy, photocopy or rubber stamp signatures my only be used on conformed copy. For additional space, continue in the same format on a plain white 8.5x11" sheet of paper.

Printed by authority of the State of Illinois. January 2008 ­ 200 ­ UPA 4.3