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                                                                            Secretary of State 
                                                                Business Programs Division 
                                                                            Business Entities 
                                                   1500 11th Street, Sacramento, CA 95814 
                                               P.O. Box 944260, Sacramento, CA 94244-2600 

                                                   Submission Cover Sheet

For faster service, file online at bizfileOnline.sos.ca.gov               . 

Instructions: 

• Complete and include this form with your paper submission. This information only will be
  used to communicate in writing about the submission, if needed. This form will be
  treated as correspondence and will not be made part of the filed document.

• Make all checks or money orders payable to the Secretary of State.

• In person submissions (excluding Statements of Information): $15 handling fee; do not include
  a $15 handling fee when submitting documents by mail.

• Standard processing time for submissions to this office is approximately 5 business days from
  receipt. All submissions are reviewed in the date order of receipt with online submissions
  given priority. For updated processing time information, visit
  www.sos.ca.gov/business/be/processing-dates.

Optional Copy and Certification Fees: 

• If applicable, include optional certification fees with your submission.

• For applicable certification fee information, refer to the instructions of the specific form you are
  submitting.

Contact Person: (Please type or print legibly) 

First Name:                                     Last Name: 

Phone (optional):  

Entity Information: (Please type or print legibly) 

Name:  

Entity Number (if applicable):  

Address: 

Comments

Submission Cover Sheet (REV 03/2022)                            Clear Form  Print Form



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                                                                     OBE MERG

                   State of California
                        Secretary of State 

                        Certificate of Merger 
                                       
                      (California Corporations Code sections  
1113(g), 3203(g), 6019.1, 8019.1, 9640, 12540.1, 15911.14, 16915(b) and 17710.14)

     Filing Fee: $150.00; Certification Fee (Optional): $5.00                                            This Space For Filing Use Only 
1.  NAME OF SURVIVING ENTITY                  2.  TYPE OF ENTITY         3. CA SECRETARY OF STATE ENTITY NUMBER  4.  JURISDICTION 

5.  NAME OF DISAPPEARING ENTITY               6.  TYPE OF ENTITY         7. CA SECRETARY OF STATE ENTITY NUMBER  8.  JURISDICTION 

9.  THE PRINCIPAL TERMS OF THE AGREEMENT OF MERGER WERE APPROVED BY A VOTE OF THE NUMBER OF INTERESTS OR SHARES OF EACH CLASS THAT
     EQUALED OR EXCEEDED THE VOTE REQUIRED.  (IF A VOTE WAS REQUIRED, SPECIFY THE CLASS AND THE NUMBER OF OUTSTANDING INTERESTS OF
     EACH CLASS ENTITLED TO VOTE ON THE MERGER AND THE PERCENTAGE VOTE REQUIRED OF EACH CLASS. ATTACH ADDITIONAL PAGES, IF NEEDED.) 
                      SURVIVING ENTITY                                             DISAPPEARING ENTITY 
     CLASS AND NUMBER         AND   PERCENTAGE VOTE REQUIRED         CLASS AND NUMBER                    AND  PERCENTAGE VOTE REQUIRED 

10.  IF EQUITY SECURITIES OF A PARENT PARTY ARE TO BE ISSUED IN THE MERGER, CHECK THE APPLICABLE STATEMENT. 
      No vote of the shareholders of the parent party was required.  The required vote of the shareholders of the parent party was obtained. 
11.  IF THE SURVIVING ENTITY IS A DOMESTIC LIMITED LIABLITY COMPANY, LIMITED PARTNERSHIP, OR PARTNERSHIP, PROVIDE THE REQUISITE CHANGES (IF
     ANY) TO THE INFORMATION SET FORTH IN THE  SURVIVING ENTITY’S ARTICLES OF ORGANIZATION, CERTIFICATE OF LIMITED PARTNERSHIP OR
     STATEMENT OF PARTNERSHIP AUTHORITY RESULTING FROM THE MERGER.  ATTACH ADDITIONAL PAGES, IF NECESSARY.

12.  IF A DISAPPEARING ENTITY IS A DOMESTIC LIMITED LIABLITY COMPANY, LIMITED PARTNERSHIP, OR PARTNERSHIP, AND THE SURVIVING ENTITY IS NOT
     A DOMESTIC ENTITY OF THE SAME TYPE, ENTER THE PRINCIPAL ADDRESS OF THE SURVIVING ENTITY. 
     PRINCIPAL ADDRESS OF SURVIVING ENTITY                          CITY AND STATE                                     ZIP CODE 

13.  OTHER INFORMATION REQUIRED TO BE STATED IN THE CERTIFICATE OF MERGER BY THE LAWS UNDER WHICH EACH CONSTITUENT OTHER BUSINESS
     ENTITY IS ORGANIZED.  ATTACH ADDITIONAL PAGES, IF NECESSARY. 

14.  STATUTORY OR OTHER BASIS UNDER WHICH A FOREIGN OTHER BUSINESS ENTITY IS AUTHORIZED TO EFFECT  15.  FUTURE EFFECTIVE DATE, IF ANY
     THE MERGER.
                                                                                                                     -       -
                                                                                                             (Month)   (Day)            (Year) 
16.  ADDITIONAL INFORMATION SET  FORTH ON ATTACHED PAGES, IF ANY, IS INCORPORATED HEREIN  BY THIS REFERENCE AND MADE PART OF THIS
     CERTIFICATE. 
17.  I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA THAT THE FOREGOING IS TRUE AND CORRECT OF MY OWN
     KNOWLEDGE.  I DECLARE I AM THE PERSON WHO EXECUTED THIS INSTRUMENT, WHICH EXECUTION IS MY ACT AND DEED.

     SIGNATURE OF AUTHORIZED PERSON FOR THE SURVIVING ENTITY        DATE    TYPE OR PRINT NAME AND TITLE OF AUTHORIZED PERSON 

     SIGNATURE OF AUTHORIZED PERSON FOR THE SURVIVING ENTITY        DATE    TYPE OR PRINT NAME AND TITLE OF AUTHORIZED PERSON 

     SIGNATURE OF AUTHORIZED PERSON FOR THE DISAPPEARING ENTITY     DATE    TYPE OR PRINT NAME AND TITLE OF AUTHORIZED PERSON 

     SIGNATURE OF AUTHORIZED PERSON FOR THE DISAPPEARING ENTITY     DATE    TYPE OR PRINT NAME AND TITLE OF AUTHORIZED PERSON 
     For an entity that is a business trust, real estate investment trust or an unincorporated 
     association, set forth the provision of law or other basis for the authority of the person signing: 
OBE MERGER-1  (REV 03/2022)                                                                                   2022 California Secretary of State  
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