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Certificate of Merger/Consolidation (New Jersey)

This form is a certificate of merger or consolidation of a nonprofit corporation in New Jersey. The form provided here is simply a sample of what the actual Form UMC-3 looks like.

UMC-3 3/96

Department of the Treasury
Division of Revenue
Certificate of Merger/Consolidation
(Non-Profit Corporations)

This form may be used to record the merger or consolidation of a corporation with or into another business entity or entities, pursuant to NJSA 15A. Applicants must insure strict compliance with the requirements of State law and insure that all filing requirements are met. This form is intended to simplify filing with the Treasurer. Applicants are advised to seek out private legal advice before submitting filings to the Treasurer's office.

1. Type of Filing (check one): __ Merger __ Consolidation

2. Name Of Surviving Corporation: _______________________

3. Name(s)/Jurisdiction(s) Of Each Participating Corporation:

Name _______________________

Jurisdiction _______________________

Identification # Assigned By Treasurer (If Applicable) _______________________

4. Voting: (all corporations involved; attach additional sheets if necessary)

Corp. Name _______________________

(check one) ___ Has ___ Does not Have Members Eligible to Vote.

If the corporation has any class of members entitled to vote as a class, specify the class and the number of votes for each class:

Members Voting For ______ Members Voting Against ______

Total number of Trustees at the meeting ______ ;

OR

Plan of merger/consolidation was adopted by the unanimous written consent of the members without a meeting (check) ____

If there are no voting members:

Trustees Voting For ______Trustees Voting Against ______ Total number of Trustees at the meeting ______

OR

Plan of merger/consolidation was adopted by the unanimous written consent of the Trustees without a meeting (check) ____

Corp. Name (check one) ___ Has ___ Does not Have Members Eligible to Vote.

If the corporation has any class of members entitled to vote as a class, specify the class and the number of votes for each class:

Members Voting For ______ Members Voting Against ______ Total number of Trustees at the meeting ______

OR

Plan of merger/consolidation was adopted by the unanimous written consent of the members without a meeting (check) ____

If there are no voting members:

Trustees Voting For ______Trustees Voting Against ______ Total number of Trustees at the meeting ______

OR

Plan of merger/consolidation was adopted by the unanimous written consent of the Trustees without a meeting (check) ____

5. Service of Process Address (For use if the surviving business entity is not authorized or registered by the Secretary of State):

Street _______________________

City _______________________

State _______________________

Zip Code _______________________

The Secretary of State is hereby appointed as agent to accept service of process and to forward same to the address above.

6. Effective Date: (if other than filing date; not to exceed 30 days from filing date)

_______________________

Signature: _______________________

Name _______________________

Title _______________________

Date _______________________


**Remember to attach the plan of merger or consolidation.

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