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Mississippi Domestic Corporation Profit Merger Form

In the case of corporations registered in the State of Mississippi wanting to form a merger, the following form has to be completed and submitted along with a $50 fee. This form works for merging up to 3 domestic corporations.

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F0013 - Page 1 of 3 OFFICE OF THE MISSISSIPPI SECRETARY OF STATE	
P.O. BOX 136, JACKSON, MS 39205-0136     (601) 359-1333	
*0013-1-3*	Articles of Merger or Share Exchange
Profit Corporation	
Rev. 01/96	
The undersigned corporation pursuant to Section 79-4-11.05, as amended, hereby executes the
following document and sets forth:
1. Name of Corporation 1
2. Name of Corporation 2
3. Name of Corporation 3
4. The future effective date is
(Complete if applicable)
5. The plan of merger or share exchange. (Attach page)
6. Mark appropriate box.
(a) Shareholder approval of the plan of merger or share exchange was not required.
OR
(b) If approval of the shareholders of one or more corporations party to the merger o	
r	
share exchange was required	
(i) the designation, number of outstanding shares, and number of votes entitled to 
be cast by each class entitled to vote separately on the plan as to each 
corporation were	
Name of Corporation Designation No. of outstanding
sharesNo. of votes
entitled to be cast

F0013 - Page 2 of 3 OFFICE OF THE MISSISSIPPI SECRETARY OF STATE	
P.O. BOX 136, JACKSON, MS 39205-0136     (601) 359-1333	
*0013-2-3*	Articles of Merger or Share Exchange
Profit Corporation	
Rev. 01/96	
AND EITHER
a. the total number of votes cast for and against the plan by each class entitled to vote 
separately on the plan was
Name of Corporation Class Total no. of votes
cast FOR the PlanTotal no. of votes cast
AGAINST the Plan
OR
b. the total number of undisputed votes cast for the plan separately by each class was
Name of Corporation Class Total no. of undisputed
votes cast FOR the Plan
and the number of votes cast for the plan by each class was sufficient for approval by that class.
Name of Corporation 1
By: Signature	(Please keep writing within blocks)	
Printed Name Title

F0013 - Page 3 of 3 OFFICE OF THE MISSISSIPPI SECRETARY OF STATE	
P.O. BOX 136, JACKSON, MS 39205-0136     (601) 359-1333	
*0013-3-3*	Articles of Merger or Share Exchange
Profit Corporation	
Rev. 01/96	
Name of Corporation 2
By: Signature	(Please keep writing within blocks)	
Printed Name Title	
Name of Corporation 3
By: Signature	(Please keep writing within blocks)	
Printed Name Title	
NOTE
1. If shareholder approval is required, the plan must be approved by each voting group entitled to vote
on the plan by a majority of all votes entitled to be cast by that voting group unless the Act or the
articles of incorporation provide for a greater  or lessor vote, but not less than a majority of all votes
cast at a meeting.
2.  The articles cannot be filed unless the corporation(s) has (have) paid all fees and taxes (and
delinquencies) imposed by law.
3. The articles must be similarly executed by each corporation that is a party to the merger.
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