Reset FORM UPA-907 Illinois FILE #: October 2014 Uniform Partnership Act This space for use by Secretary of State. Partnership/Limited Partnership Secretary of State Statement of Merger Department of Business Services Limited Liability Division SUBMIT IN DUPLICATE 501 S. Second St., Rm. 357 Type or Print Clearly. Springfield, IL 62756 217-524-8008 www.ilsos.gov Filing Fee: $100.00 Payment may be made by check pay - Approved: able to Secretary of State. If check is returned for any reason this filing will be void. 1. Name of entities that are party to the merger: Name of Entity Type of Entity Domestic State or Country Illinois Secretary of State File # F.E.I.N # Name of Entity Type of Entity Domestic State or Country Illinois Secretary of State File # F.E.I.N # Name of Entity Type of Entity Domestic State or Country Illinois Secretary of State File # F.E.I.N # Name of Entity Type of Entity Domestic State or Country Illinois Secretary of State File # F.E.I.N # 2. Name of Surviving Entity, including whether the Surviving Entity is a Limited Liability Partnership or a Limited Partnership: Name of Entity Type of Entity Domestic State or Country Illinois Secretary of State File # F.E.I.N # 3. Street Address of Surviving Entity’s Chief Executive Office: 4. Address of Surviving Entity’s Office in Illinois: Printed by authority of the State of Illinois. July 2015 - 1 - UPA 3.5 |
UPA-907 5. The undersigned entities caused this statement to be signed by a duly authorized person of each entity that is party to the merger, each of whom affirms, under the penalty of perjury, that the facts herein stated are true, correct and complete. Executed on the of , by a partner of each merging entity. Date Month Year 1. 2. Signature Signature Name and Title (type or print) Name and Title (type or print) Name of Partnership or LP Name of Partnership or LP 3. 4. Signature Signature Name and Title (type or print) Name and Title (type or print) Name of Partnership or LP Name of Partnership or LP For additional space, continue in the same format on a plain white 8.5x11” sheet of paper. |