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

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

              Instructions for Completing the Statement of Merger (Form GP-6) 

Where to File:       For easier completion, this form is available on the California Secretary of State's website at 
www.sos.ca.gov/business/be/forms.htm and can be completed online and printed to mail.  The completed form can 
be mailed to Secretary of State, Document Filing Support Unit, P.O. Box 944260, Sacramento, CA 94244-2600 or 
delivered in person (drop off) to the Sacramento office.  If you are not completing this form online, please type or 
legibly print in black or blue ink.  This form is filed only in the Sacramento office. 

Legal Authority:     Statutory filing provisions are found in California Corporations Code section  16915(a). All
statutory references are to the California Corporations Code, unless otherwise indicated.  

• This Statement of Merger may only be used for mergers involving a domestic partnership, in which another
  partnership or a foreign other business entity is a party, but in which no other domestic “other business entity” is a
  party.  [The term "other business entity" is defined in Section 16901(12).]
• Each party to the merger must be authorized by the laws under which it is organized to effect the merger.
  (Section 16910.)
• The filing of a Statement of Merger shall have the effect of filing a cancellation of any Statement of Partnership
  Authority filed by a disappearing registered general partnership. (Section 16915(c).)
• The Statement of Merger may not be filed if a domestic “other business entity” is a party to the merger.  To
  effect the merger, a Certificate of Merger (Form OBE MERGER-1) must be filed pursuant to Section 16915(b).
  To get Form OBE MERGER-1, go to www.sos.ca.gov/business/be/forms.

Fees: The fee for filing a Statement of Merger is $30.00. A non0refundable $15.00 handling fee is applicable for 
processing documents delivered in person (drop off) at the Sacramento office.

Copies:  Upon filing, we will return one (1) plain copy of your filed document for free, and will certify the copy 
upon request and payment of an additional $5 certification fee.  

Complete the Statement of Merger (Form GP-6) as follows: 

Items 1-4.    Enter  the  following  information for  the  surviving  entity:   The  exact  name of  the  entity,  the  type 
              of entity (e.g., corporation, limited liability company, limited partnership, general partnership, etc.), the 
              file  number  issued  to  the  entity  by  the California Secretary of State (if any) and the jurisdiction 
              (state or country) under which the entity was organized.   
Item 5.       Enter the street address, including the zip code, of the chief executive office of the surviving entity.  
              Please do not enter a P.O. Box number or abbreviate the name of the city. 
Item 6.       If the street address of the chief executive office entered in Item 5 is not located in California, enter 
              the  street  address  of an office of the surviving entity in California, if any.  Please do not enter a 
              P.O. Box number or abbreviate the name of the city. 

Items 7-10.   Enter  the  following  information  for   the  disappearing  entity: The  exact  name of  the  entity, the 
              type of entity (e.g., corporation, limited liability company, limited partnership, general partnership, 
              etc.), the file number issued to the entity by the California Secretary of State (if any) and the 
              jurisdiction (state or country) under which the entity was organized. If more than one entity is
              disappearing, attach additional pages with the required information. 
Item 11.      This statement confirms that attachments to the Statement of Merger, if any, are incorporated by 
              reference.  All attachments should be 8 ½ x 11”, one-sided and legible.  
Item 12.      If  the  Statement  of Merger is filed by the surviving domestic partnership, the statement shall be 
              executed by at least two partners of the surviving partnership. (Sections     16915(a),16105(c)     and 
              16101(17).)  If the statement is filed by the surviving foreign other business entity, please refer to the 
              laws of the foreign jurisdiction for signatory requirements. If additional signature space is necessary, 
              the signature(s) may be made on an attachment to the Statement of Merger.  All attachments should 
              be 8 ½ x 11”, one-sided and legible.   

GP-6  (REV  03/2022)                                                                         2022 California Secretary of State
                                                                                                    bizfileOnline.sos.ca.gov

                                                                    GP-6 DOCUMENT # _________________________________ 

                     State of California 
                     Secretary of State

                 STATEMENT OF MERGER 
                     (Corporations Code section 16915(a).) 

              A $30.00  filing fee must accompany this form. 
   IMPORTANT  — Read all instructions before completing this form.                 This Space For Filing Use Only 
SURVIVING ENTITY INFORMATION 
1.   NAME  OF SURVIVING ENTITY

2.   TYPE OF ENTITY            3. CA SECRETARY OF STATE  FILE NUMBER, IF ANY        4. JURISDICTION

5. STREET  ADDRESS OF CHIEF EXECUTIVE  OFFICE OF SURVIVING ENTITY   CITY AND STATE                  ZIP CODE 

6. STREET  ADDRESS OF CALIFORNIA OFFICE OF SURVIVING ENTITY, IF ANY CITY           STATE            ZIP CODE 

                                                                                    CA 

DISAPPEARING ENTITY INFORMATION  (If more than one entity is disappearing, attach additional pages with the required information.) 
7. NAME  OF DISAPPEARING ENTITY

8.   TYPE OF ENTITY             9. CA SECRETARY OF STATE  FILE NUMBER, IF ANY       10. JURISDICTION

ADDITIONAL       INFORMATION 
11. ADDITIONAL  INFORMATION  SET  FORTH  ON  ATTACHED  PAGES,  IF  ANY,  IS  INCORPORATED  HEREIN  BY  THIS  REFERENCE  AND MADE PART OF
   THIS STATEMENT.

EXECUTION        (If additional signature space is necessary, the signature(s) may be made on an attachment to this document.  Any attachments to this 
document are incorporated herein by this reference.)
12. 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 

GP-6  (REV  03/2022)                                                                2022 California Secretary of State
                                                                                    Clear Form                    Print Form