"Statement of Merger (Surviving Entity Is a Foreign Entity)" - Colorado

Statement of Merger (Surviving Entity Is a Foreign Entity) is a legal document that was released by the Colorado Secretary of State - a government authority operating within Colorado.

Form Details:

  • Released on May 29, 2007;
  • The latest edition currently provided by the Colorado Secretary of State;
  • Ready to use and print;
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  • Compatible with most PDF-viewing applications;

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Document processing fee
If document is filed on paper
$150.00
If document is filed electronically
Currently Not Available
Fees & forms/cover sheets are
subject to change.
To file electronically, access instructions
for this form/cover sheet and other
information or print copies of filed
documents, visit www.sos.state.co.us
and select Business.
Paper documents must be typewritten or machine printed.
ABOVE SPACE FOR OFFICE USE ONLY
Statement of Merger
(Surviving Entity is a Foreign Entity)
filed pursuant to
§ 7-90-203.7
and
§ 7-90-204.5
of the Colorado Revised Statutes (C.R.S.)
1. For each merging entity, its ID number (if applicable), entity name or true name, form of entity, jurisdiction
under the law of which it is formed, and principal address are
(Caution: At least one merging entity must be an entity formed under the laws of Colorado.)
ID Number
_________________________
(Colorado Secretary of State ID number)
Entity name or true name
______________________________________________________
Form of entity
______________________________________________________
Jurisdiction
______________________________________________________
Street
address
______________________________________________________
(Street number and name)
______________________________________________________
__________________________ ____ ____________________
(City)
(State)
(ZIP/Postal Code)
_______________________ ______________
(Province – if applicable)
(Country)
Mailing
address
______________________________________________________
(leave blank if same as street address)
(Street number and name or Post Office Box information)
______________________________________________________
__________________________ ____ ____________________
(City)
(State)
(ZIP/Postal Code)
_______________________ ______________.
(Province – if applicable)
(Country)
________________________________________________
ID Number
_________________________
(Colorado Secretary of State ID number)
Entity name or true name
______________________________________________________
Form of entity
______________________________________________________
MERGE_FGN
Page 1 of 5
Rev. 5/29/2007
Document processing fee
If document is filed on paper
$150.00
If document is filed electronically
Currently Not Available
Fees & forms/cover sheets are
subject to change.
To file electronically, access instructions
for this form/cover sheet and other
information or print copies of filed
documents, visit www.sos.state.co.us
and select Business.
Paper documents must be typewritten or machine printed.
ABOVE SPACE FOR OFFICE USE ONLY
Statement of Merger
(Surviving Entity is a Foreign Entity)
filed pursuant to
§ 7-90-203.7
and
§ 7-90-204.5
of the Colorado Revised Statutes (C.R.S.)
1. For each merging entity, its ID number (if applicable), entity name or true name, form of entity, jurisdiction
under the law of which it is formed, and principal address are
(Caution: At least one merging entity must be an entity formed under the laws of Colorado.)
ID Number
_________________________
(Colorado Secretary of State ID number)
Entity name or true name
______________________________________________________
Form of entity
______________________________________________________
Jurisdiction
______________________________________________________
Street
address
______________________________________________________
(Street number and name)
______________________________________________________
__________________________ ____ ____________________
(City)
(State)
(ZIP/Postal Code)
_______________________ ______________
(Province – if applicable)
(Country)
Mailing
address
______________________________________________________
(leave blank if same as street address)
(Street number and name or Post Office Box information)
______________________________________________________
__________________________ ____ ____________________
(City)
(State)
(ZIP/Postal Code)
_______________________ ______________.
(Province – if applicable)
(Country)
________________________________________________
ID Number
_________________________
(Colorado Secretary of State ID number)
Entity name or true name
______________________________________________________
Form of entity
______________________________________________________
MERGE_FGN
Page 1 of 5
Rev. 5/29/2007
Jurisdiction
______________________________________________________
Street
address
______________________________________________________
(Street number and name)
______________________________________________________
__________________________ ____ ____________________
(City)
(State)
(ZIP/Postal Code)
_______________________ ______________
(Province – if applicable)
(Country)
Mailing
address
______________________________________________________
(leave blank if same as street address)
(Street number and name or Post Office Box information)
______________________________________________________
__________________________ ____ ____________________
(City)
(State)
(ZIP/Postal Code)
_______________________ ______________.
(Province – if applicable)
(Country)
________________________________________________
ID Number
_________________________
(Colorado Secretary of State ID number)
Entity name or true name
______________________________________________________
Form of entity
______________________________________________________
Jurisdiction
______________________________________________________
Street
address
______________________________________________________
(Street number and name)
______________________________________________________
__________________________ ____ ____________________
(City)
(State)
(ZIP/Postal Code)
_______________________ ______________
(Province – if applicable)
(Country)
Mailing
address
______________________________________________________
(leave blank if same as street address)
(Street number and name or Post Office Box information)
______________________________________________________
__________________________ ____ ____________________
(City)
(State)
(ZIP/Postal Code)
_______________________ ______________.
(Province – if applicable)
(Country)
(If the following statement applies, adopt the statement by marking the box and include an attachment.)
There are more than three merging entities and the ID number (if applicable), entity name or true
name, form of entity, jurisdiction under the law of which it is formed, and the principal address of
each additional merging entity is stated in an attachment.
2. For the surviving entity which is a foreign entity, its entity ID number (if applicable), entity name or true
name, form of entity, jurisdiction under the law of which it is formed, and principal address are
(Caution: The surviving entity cannot be an entity formed under the laws of Colorado.)
ID Number
_________________________
(Colorado Secretary of State ID number)
MERGE_FGN
Page 2 of 5
Rev. 5/29/2007
Entity name or true name
______________________________________________________
Form of entity
______________________________________________________
Jurisdiction
______________________________________________________
Street
address
______________________________________________________
(Street number and name)
______________________________________________________
__________________________ ____ ____________________
(City)
(State)
(ZIP/Postal Code)
_______________________ ______________
(Province – if applicable)
(Country)
Mailing
address
______________________________________________________
(leave blank if same as street address)
(Street number and name or Post Office Box information)
______________________________________________________
__________________________ ____ ____________________
(City)
(State)
(ZIP/Postal Code)
_______________________ ______________.
(Province – if applicable)
(Country)
3. Each merging entity has been merged into the surviving foreign entity.
4.
(If the following statement applies, adopt the statement by marking the box and state the appropriate document number(s).)
One or more of the merging entities is a registrant of a trademark described in a filed document in the
records of the secretary of state and the document number of each filed document is
Document number
_________________________
Document number
_________________________
Document number
_________________________
(If the following statement applies, adopt the statement by marking the box and include an attachment.)
There are more than three trademarks and the document number of each additional trademark is
stated in an attachment.
5.
(Mark the applicable box and complete the statement. Caution: Mark only one box.)
The surviving foreign entity maintains a registered agent in this state.
OR
The surviving foreign entity does not maintain a registered agent in this state and service of process
may be addressed to the entity and mailed to the principal address pursuant to section 7-90-704 (2),
C.R.S.
OR
The surviving foreign entity has not maintained a registered agent in this state and appoints a
registered agent to accept service pursuant to section 7-90-204.5, C.R.S. The person appointed as
registered agent has consented to being so appointed. Such registered agent’s name and address are
Name
(if an individual)
____________________ ______________ ______________ _____
(Last)
(First)
(Middle)
(Suffix)
MERGE_FGN
Page 3 of 5
Rev. 5/29/2007
OR
(if an entity)
______________________________________________________
(Caution: Do not provide both an individual and an entity name.)
Street
address
______________________________________________________
(Street number and name)
______________________________________________________
__________________________
CO
____________________
(City)
(State)
(ZIP Code)
Mailing
address
______________________________________________________
(leave blank, if same as street address)
(Street number and name or Post Office Box information)
______________________________________________________
__________________________
CO
____________________
(City)
(State)
(ZIP Code)
6.
(If applicable, adopt the following statement by marking the box and include an attachment.)
This document contains additional information as provided by law.
7.
(Caution: Leave blank if the document does not have a delayed effective date. Stating a delayed effective date has significant
legal consequences. Read instructions before entering a date.)
(If the following statement applies, adopt the statement by entering a date and, if applicable, time using the required format.)
The delayed effective date and, if applicable, time of this document are ___________________________.
(mm/dd/yyyy hour:minute am/pm)
Notice:
Causing this document to be delivered to the Secretary of State for filing shall constitute the affirmation or
acknowledgment of each individual causing such delivery, under penalties of perjury, that such document is
such individual's act and deed, or that such individual in good faith believes such document is the act and deed
of the person on whose behalf such individual is causing such document to be delivered for filing, taken in
conformity with the requirements of part 3 of article 90 of title 7, C.R.S. and, if applicable, the constituent
documents and the organic statutes, and that such individual in good faith believes the facts stated in such
document are true and such document complies with the requirements of that Part, the constituent documents,
and the organic statutes.
This perjury notice applies to each individual who causes this document to be delivered to the Secretary of
State, whether or not such individual is identified in this document as one who has caused it to be delivered.
8. The true name and mailing address of the individual causing this document to be delivered for filing are
____________________ ______________ ______________ _____
(Last)
(First)
(Middle)
(Suffix)
______________________________________________________
(Street number and name or Post Office Box information)
______________________________________________________
__________________________ ____
____________________
(City)
(State)
(ZIP/Postal Code)
_______________________ ______________.
(Province – if applicable)
(Country)
(If applicable, adopt the following statement by marking the box and include an attachment.)
This document contains the true name and mailing address of one or more additional individuals
causing the document to be delivered for filing.
MERGE_FGN
Page 4 of 5
Rev. 5/29/2007
Disclaimer:
This form/cover sheet, and any related instructions, are not intended to provide legal, business or tax advice,
and are furnished without representation or warranty. While this form/cover sheet is believed to satisfy
minimum legal requirements as of its revision date, compliance with applicable law, as the same may be
amended from time to time, remains the responsibility of the user of this form/cover sheet. Questions should
be addressed to the user’s legal, business or tax advisor(s).
MERGE_FGN
Page 5 of 5
Rev. 5/29/2007