Form 140404 Certificate of Termination of Articles of Merger, Exchange or Conversion - Nevada

Form 140404 or the "Certificate Of Termination Of Articles Of Merger, Exchange Or Conversion" is a form issued by the Nevada Secretary of State.

The form was last revised in January 5, 2015 and is available for digital filing. Download an up-to-date Form 140404 in PDF-format down below or look it up on the Nevada Secretary of State Forms website.

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*140404*
*140404*
BARBARA K. CEGAVSKE
Secretary of State
202 North Carson Street
Carson City, Nevada 89701-4201
(775) 684-5708
Website: www.nvsos.gov
Termination of Merger,
Exchange or Conversion
(PURSUANT TO NRS CHAPTER 92A)
USE BLACK INK ONLY - DO NOT HIGHLIGHT
ABOVE SPACE IS FOR OFFICE USE ONLY
Certificate of Termination of Articles of
Merger, Exchange or Conversion
(Pursuant to NRS Chapter 92A)
1. The constituent entities, or in the case of conversion, the constituent and resulting entities are: ( if more
than two entities, see article six )
Constituent Entity
Constituent (or Resulting) Entity
2. Description of the original document filed:
3. Filing Date of the original document with the Nevada Secretary of State:
4. Effective Date, as specified, on the original document:
5. The aforementioned filing has been terminated pursuant to the plan.
6.
If there are more than two entities attach an 8 1/2" x 11" blank sheet containing the name and
authorized signature of each additional constituent entity and mark the box.
7. Signatures: Must be signed by: An officer of each Nevada corporation; All general partners of each
Nevada limited partnership; All managing partners of each Nevada limited-liability partnership; A manager
of each Nevada limited-liability company with managers or one member if there are no managers; A
trustee of each Nevada business trust. The articles of merger must be signed by each foreign constituent
entity in the manner provided by the law governing it. (NRS 92A.230)
Name of Constituent Entity
Date
X
Signature
Title
Name of Constituent (or Resulting) Entity
Date
X
Signature
Title
FILING FEE $350.00
IMPORTANT:
Failure to include any of the above information and submit with the proper fees may cause this filing to be rejected.
Nevada Secretary of State 92A Termination
Reset
This form must be accompanied by appropriate fees
Revised: 1-5-15
*140404*
*140404*
BARBARA K. CEGAVSKE
Secretary of State
202 North Carson Street
Carson City, Nevada 89701-4201
(775) 684-5708
Website: www.nvsos.gov
Termination of Merger,
Exchange or Conversion
(PURSUANT TO NRS CHAPTER 92A)
USE BLACK INK ONLY - DO NOT HIGHLIGHT
ABOVE SPACE IS FOR OFFICE USE ONLY
Certificate of Termination of Articles of
Merger, Exchange or Conversion
(Pursuant to NRS Chapter 92A)
1. The constituent entities, or in the case of conversion, the constituent and resulting entities are: ( if more
than two entities, see article six )
Constituent Entity
Constituent (or Resulting) Entity
2. Description of the original document filed:
3. Filing Date of the original document with the Nevada Secretary of State:
4. Effective Date, as specified, on the original document:
5. The aforementioned filing has been terminated pursuant to the plan.
6.
If there are more than two entities attach an 8 1/2" x 11" blank sheet containing the name and
authorized signature of each additional constituent entity and mark the box.
7. Signatures: Must be signed by: An officer of each Nevada corporation; All general partners of each
Nevada limited partnership; All managing partners of each Nevada limited-liability partnership; A manager
of each Nevada limited-liability company with managers or one member if there are no managers; A
trustee of each Nevada business trust. The articles of merger must be signed by each foreign constituent
entity in the manner provided by the law governing it. (NRS 92A.230)
Name of Constituent Entity
Date
X
Signature
Title
Name of Constituent (or Resulting) Entity
Date
X
Signature
Title
FILING FEE $350.00
IMPORTANT:
Failure to include any of the above information and submit with the proper fees may cause this filing to be rejected.
Nevada Secretary of State 92A Termination
Reset
This form must be accompanied by appropriate fees
Revised: 1-5-15

Download Form 140404 Certificate of Termination of Articles of Merger, Exchange or Conversion - Nevada

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