Free c156ds110695011338.indd - Massachusetts

D PC

The Commonwealth of Massachusetts
William Francis Galvin Secretary of the Commonwealth One Ashburton Place, Boston, Massachusetts 02108-1512

FORM MUST BE TYPED

Articles of Share Exchange Involving FORM MUST BE TYPED Domestic Corporations and Domestic Other Entities
(General Laws Chapter 156D, Section 11.06; 950 CMR 113.38)

(1) Names of the parties to the share exchange: _______________________________________________________________ ________________________________________________________________________________________________ (2) The articles of share exchange shall be effective at the time and on the date approved by the Division, unless a later effective date not more than 90 days from the date of filing is specified: ________________________________________________ (3) (Check appropriate box) ® The plan of share exchange was duly approved by the shareholders of each domestic corporation, and where required, by each separate voting group as provided by G.L. Chapter 156D and the corporation's articles of organization. OR ® The plan of share exchange did not require the approval of the shareholders. (4) The participation of each other entity was duly authorized by the law under which the other entity is organized or governed, and by its organizational documents.

Signed by: ___________________________________________________________________________________________ , (signature of authorized individual) ® Chairman of the board of directors, ® President, ® Other officer, ® Court-appointed fiduciary, on this _____________________________ day of _______________________________________ , __________________ .

Signed by: ___________________________________________________________________________________________ , (signature of authorized individual) ® Chairman of the board of directors, ® President, ® Other officer, ® Court-appointed fiduciary, on this _____________________________ day of _______________________________________ , __________________ .
P.C.

c156ds110695011338 01/13/05

COMMONWEALTH OF MASSACHUSETTS
Secretary of the Commonwealth One Ashburton Place, Boston, Massachusetts 02108-1512

William Francis Galvin

(General Laws Chapter 156D, Section 11.06; 950 CMR 113.38)

Articles of Share Exchange Involving Domestic Corporations and Domestic Other Entities

I hereby certify that upon examination of these articles of share exchange, it appears that the provisions of the General Laws relative thereto have been complied with, and the filing fee in the amount of $__________ having been paid, said articles are deemed to have been filed with me this ________ day of ______________ , 20_____________________, at __________ a.m./p.m. time Effective date: _________________________________________________ (must be within 90 days of date submitted)

WILLIAM FRANCIS GALVIN
Secretary of the Commonwealth Filing fee: Minimum $250
Examiner

TO BE FILLED IN BY CORPORATION
Contact Information: ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ Telephone: ___________________________________________________ Email: ______________________________________________________ Upon filing, a copy of this filing will be available at www.sec.state.ma.us/cor. If the document is rejected, a copy of the rejection sheet and rejected document will be available in the rejected queue.