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Chap. 180.1105, Wis. Stats.
State of Wisconsin DEPARTMENT OF FINANCIAL INSTITUTIONS Division of Corporate & Consumer Services
ARTICLES OF SHARE EXCHANGE 1. Name of the business entity (or entities) whose shares or other ownership interests are acquired:
Company Name:
Indicate (X) Entity Type
Limited Partnership (Ch. 179, Wis. Stats.) Business Corporation (Ch. 180, Wis. Stats.) Nonstock Corporation (Ch. 181, Wis. Stats.) Limited Liability Company (Ch. 183, Wis. Stats.)
Organized under the laws of (state or country)
Company Name:
Indicate (X) Entity Type
Limited Partnership (Ch. 179, Wis. Stats.) Business Corporation (Ch. 180, Wis. Stats.) Nonstock Corporation (Ch. 181, Wis. Stats.) Limited Liability Company (Ch. 183, Wis. Stats.)
Organized under the laws of (state or country)
Schedule more business entities as an additional page.
2. Name of the acquiring business entity:
Company Name:
Indicate (X) Entity Type
Limited Partnership (Ch. 179, Wis. Stats.) Business Corporation (Ch. 180, Wis. Stats.) Nonstock Corporation (Ch. 181, Wis. Stats.) Limited Liability Company (Ch. 183, Wis. Stats.)
Organized under the laws of (state or country)
FILING FEE - $50.00 for each domestic or licensed foreign business entity that is a party to the share exchange. DFI/CORP/52(R06/06) 1
3. The Plan of Share Exchange has been approved and adopted by each business entity that is a party to
the share exchange in the manner required by the laws applicable to each business entity, and as required under ss. 180.1103, 180.1104 and 183.1202, as applicable. 4. The executed plan of share exchange is on file at the principal place of business of the acquiring entity. 5. The acquiring entity will provide a copy of the plan of share exchange, upon request and without cost, to any shareholder of a corporation that was a party to the share exchange or, upon payment to the acquiring entity of an amount equal to the cost of producing the copy, to any other interested person.
6. (OPTIONAL) Effective Date and Time of Share Exchange
These articles of share exchange, when filed, shall be effective on at (time). (date)
(An effective date declared under this article may not be earlier than the date the document is delivered to the department for filing, nor more than 90 days after its delivery. If no effective date and time is declared, the effective date and time will be determined by ss. 179.11(2), 180.0123, 181.0123 or 183.0111, whichever section governs the acquiring domestic entity.)
7. Executed on
(date) by the acquiring business entity on behalf of all parties to the share exchange. (Signature) Mark (X) below the title of the person executing the document. For a limited partnership Title: General Partner For a limited liability company Title: Member OR Manager (Printed Name) For a corporation Title: President OR Secretary or other officer title ________________________
This document was drafted by (Name the individual who drafted the document)
DFI/CORP/52(R06/06)
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ARTICLES OF SHARE EXCHANGE
Enter your return address within the bracket above. Phone number during the day: ( ) ______ - ___________________
INSTRUCTIONS: (Ref. Sec. 180.1105, Wis. Stats., for document content) Submit one original and one exact copy along with the required filing fee of $50.00 for each domestic and licensed foreign business entity that is a party to the share exchange to the address listed below. Make checks payable to the "Department of Financial Institutions". Filing fee is non-refundable. Sign the document manually or otherwise allowed under sec. 179.14(1g)(c), 180.0103(16), 181.0103(23) or 183.0107(1g)(c) Wis. Stats. Physical Address for Express Mail: Mailing Address: Department of Financial Institutions Phone: 608-261-7577 Department of Financial Institutions Division of Corporate & Consumer FAX: 608-267-6813 Division of Corporate & Consumer Services TTY: 608-266-8818 Services 345 W. Washington Ave 3rd Fl. P O Box 7846 Madison WI 53707-7846 Madison WI 53703 NOTICE: This form may be used to accomplish a filing required or permitted by statute to be made with the department. Information requested may be used for secondary purposes. This document can be made available in alternate formats upon request to qualifying individuals with disabilities. 1. Enter the company name, type of business entity, and state of organization of each business entity whose shares or other ownership interests are being acquired. Definitions of foreign entity types are set forth in ss. 179.01(4), 180.0103(9), 181.0103(13) and 183.0102(8), Wis. Stats. 2. Enter the company name, type of business entity, and state of organization of the business entity acquiring the shares or other ownership interests. 3. This Article states the manner in which the Plan of Share Exchange was approved. 4. & 5. These statements are required per sec. 180.1105(f) and (g) of the Wis. Stats. 6. (Optional) If the share exchange is to take effect at a time other than the close of business on the day the articles of share exchange are delivered to the department for filing, state the effective date or date and time. An effective date may not be earlier than the date the document is delivered to the Department of Financial Institutions, nor a date more than 90 days after its delivery. 7. Enter the date of execution and the name and title of the person signing the document. If, for example, the acquiring business entity is a domestic corporation, the articles of share exchange will be signed by an officer of the corporation. If the document is executed in Wisconsin, sec. 182.01(3) provides that it shall not be filed unless the name of the person (individual) who drafted it is printed, typewritten or stamped thereon in a legible manner. If the document is not executed in Wisconsin, enter "not executed in Wisconsin."
DFI/CORP/52(R06/06)
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