FLORIDA DEPARTMENT OF STATE  
                                     DIVISION OF CORPORATIONS 
 
Attached is a form for filing Articles of Merger pursuant to section 607.1105, Florida Statutes, when two or 
more entities merge. This form is basic and may not meet all merger needs.  The advice of an attorney is 
recommended. 
 
The document must be typed or printed and must be legible. 
 
PLEASE NOTE:  The term ‘domestic’ when used in this document is referring to a ‘Florida’ entity. 
 
Pursuant to section 607.0123, Florida Statutes, a delayed effective date may be specified but may not be later 
  th
than the 90  day after the date on which the document is filed. 
 
Filing Fee                    $35.00 for each merging and $35 for each surviving entity (Includes a letter of 
                              acknowledgment) 
 
Certified Copy (optional)    $8.75 
 
Send one check in the total amount payable to the Florida Department of State. 
 
Please include a cover letter containing your telephone number, return address and certification requirements, or 
complete the attached cover letter. 
 
 Mailing Address:                                 Street Address: 
 Amendment Section                                Amendment Section 
 Division of Corporations                         Division of Corporations 
 P.O. Box 6327                                    The Centre of Tallahassee 
 Tallahassee, FL 32314                            2415 N. Monroe Street, Suite 810 
                                                  Tallahassee, FL 32303         
 
For further information, you may contact the Amendment Section at (850) 245-6050. 
                                                  
INHS64 (3/20) 
                               

                                                              COVER LETTER 
                                                                                         
TO:      Amendment Section 
             Division of Corporations 
 
SUBJECT:                                                                                                            
                                                               Name of Surviving Entity 
 
The enclosed Articles of Merger and fee are submitted for filing. 
 
Please return all correspondence concerning this matter to following: 
 
                            Contact Person 
 
                             Firm/Company 
 
                                Address 
 
                        City/State and Zip Code 
 
         E-mail address: (to be used for future annual report notification) 
 
For further information concerning this matter, please call: 
 
                                                                At (                       )                                    
                                    Name of Contact Person                                Area Code & Daytime Telephone Number 
 
   Certified copy (optional) $8.75 (Please send an additional copy of your document if a certified copy is requested) 
 
   Mailing Address:                                                                      Street Address: 
   Amendment Section                                                                     Amendment Section 
   Division of Corporations                                                              Division of Corporations 
   P.O. Box 6327                                                                         The Centre of Tallahassee 
   Tallahassee, FL 32314                                                                 2415 N. Monroe Street, Suite 810 
                                                                                         Tallahassee, FL 32303 
                                    
IMPORTANT NOTICE:  Pursuant to s.607.1622(8), F.S., each party to the merger must be active and 
current in filing its annual report through December 31 of the calendar year which this articles of merger 
are being submitted to the Department of State for filing. 
 

            ARTICLES OF MERGER 
                                                   
The following articles of merger are submitted in accordance with the Florida Business Corporation Act, 
pursuant to section 607.1105, Florida Statutes. 
 
FIRST:  The name and jurisdiction of the surviving entity:  
 
Name                                            Jurisdiction    Entity Type   Document Number 
                                                                              (If known/ applicable) 
 
_____________________________________       __________         _________      _______________ 
 
SECOND:  The name and jurisdiction of each merging eligible entity: 
 
Name                                            Jurisdiction    Entity Type   Document Number 
                                                                              (If known/ applicable) 
 
_____________________________________       __________         _________      _______________ 
 
_____________________________________       __________         _________      _______________ 
 
_____________________________________       __________         _________      _______________ 
 
_____________________________________       __________         _________      _______________ 
 
_____________________________________       __________         _________      _______________ 
 
THIRD:  The merger was approved by each domestic merging corporation in accordance with s.607.1101(1)(b), F.S., and 
by the organic law governing the other parties to the merger. 
 

FOURTH:   Please check one of the boxes that apply to surviving entity:  
 
☐ This entity exists before the merger and is a domestic filing entity.  
 
☐ This entity exists before the merger and is not authorized to transact business in Florida.  
 
☐ This entity exists before the merger and is a domestic filing entity, and its Articles of Incorporation are being 
  amended as attached.  
 
☐ This entity is created by the merger and is a domestic corporation, and the Articles of Incorporation are attached.  
 
☐ This entity is a domestic eligible entity and is not a domestic corporation and is being amended in connection with 
  this merger as attached.  
 
☐ This entity is a domestic eligible entity being created as a result of the merger. The public organic record of the 
  survivor is attached.  
 
☐ This entity is created by the merger and is a domestic limited liability limited partnership or a domestic limited 
  liability partnership, its statement of qualification is attached.  
 
FIFTH:   Please check one of the boxes that apply to domestic corporations:  
 
☐ The plan of merger was approved by the shareholders and each separate voting group as required.  
 
☐ The plan of merger did not require approval by the shareholders. 
 
SIXTH:   Please check box below if applicable to foreign corporations 
 
☐ The participation of the foreign corporation was duly authorized in accordance with the corporation’s organic 
  laws. 
 
SEVENTH:  Please check box below if applicable to domestic or foreign non corporation(s). 
 
☐ Participation of the domestic or foreign non corporation(s) was duly authorized in accordance with each of such 
  eligible entity’s organic law. 
 

EIGHTH:  If other than the date of filing, the delayed effective date of the merger, which cannot be prior to nor more 
than 90 days after the date this document is filed by the Florida Department of State:  
 
Note:  If the date inserted in this block does not meet the applicable statutory filing requirements, this date will not be 
listed as the document’s effective date on the Department of State’s records. 
 
NINTH:  Signature(s) for Each Party: 
                                                                                                         Typed or Printed 
Name of Entity/Organization:              Signature(s):                                       Name of Individual: 
 
Corporations:                        Chairman, Vice Chairman, President or Officer  
                                     (If no directors selected, signature of incorporator.) 
General partnerships:                Signature of a general partner or authorized person 
Florida Limited Partnerships:        Signatures of all general partners 
Non-Florida Limited Partnerships:    Signature of a general partner 
Limited Liability Companies:         Signature of an authorized person