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Certificate of Merger (New York)

This is a certificate of merger of a domestic entity and a domestic limited liability company into a domestic limited liability company in New York. The form provided here is simply a sample of what the actual Form DOS-1372 looks like.

NYS Department of State
Division of Corporations, State Records and UCC
41 State Street, Albany, NY 12231-0001
www.dos.state.ny.us


CERTIFICATE OF MERGER
OF

_____________________________ (Insert name of Domestic Entity)

AND

_____________________________ (Insert name of Domestic Limited Liability Company)

INTO

_____________________________ (Insert name of Domestic Limited Liability Company)

Under Section 1003 of the Limited Liability Company Law

FIRST: The name (and if the name has been changed, the name under which it was formed) and jurisdiction of formation or organization of each limited liability company or other business entity that is to merge

is: _____________________________

SECOND: For each domestic limited liability company and domestic other business entity, the date when its initial articles of organization or formation document was filed with Department of State

is: _____________________________

THIRD: The name of the surviving domestic limited liability company

is: _____________________________

FOURTH: The agreement of merger has been approved and executed by each of the domestic limited liability companies or domestic other business entities that is a party thereto.

FIFTH: The future effective date of the merger, which does not exceed 30 days from the date of filing,

is: _____________________________

SIXTH: The Secretary of State is designated as agent of the surviving limited liability company upon whom process against it may be served. The address within or without this state to which the Secretary of State shall mail a copy of any process against the limited liability company served upon him or her is:

_____________________________

_____________________________

SEVENTH: The agreement of merger is on file at the following place of business of the surviving domestic limited liability company:

_____________________________

_____________________________

EIGHTH: A copy of the agreement of merger will be furnished by the surviving domestic limited liability company on request and without cost to any member of any domestic limited liability company or to any person holding an interest in any other business entity that is to merge pursuant to such agreement.

_____________________________

_____________________________


____________________________________ (Name of Domestic Entity)

____________________________________ (Signature)

____________________________________ (Type or print name)

____________________________________ (Title or capacity of signer)

____________________________________ (Name of Domestic Limited Liability Company)

____________________________________ (Signature)

____________________________________ (Type or print name)

____________________________________ (Title or capacity of signer)


CERTIFICATE OF MERGER
OF

____________________________________ (Insert name of Domestic Entity)

AND

____________________________________ (Insert name of Domestic Limited Liability Company)

INTO

____________________________________ (Insert name of Domestic Limited Liability Company)

Under Section 1003 of the Limited Liability Company Law


Filed by: ____________________________________ (Name)

____________________________________ (Mailing address)

____________________________________ (City, State and ZIP code)

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