Articles Of Merger Form - Domestic And Foreign For-Profit Corporations - 2014 Page 3
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3Fee simple ownership interest
Yes
No (for DFI use only)
ARTICLES OF MERGER
Domestic and Foreign Business Corporations
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Enter your return address within the bracket above.
Phone number during the day: (
) _______ - _________
INSTRUCTIONS (Ref. Sec. 180.11045 and 180.1105, Wis. Stats. for document content)
Submit one original along with the required filing fee of $150.00 to the address listed
below. Make checks payable to the “Department of Financial Institutions”. Filing fee is
is non-refundable. Sign the document manually or otherwise allowed under 180.0103(16).
Mailing Address:
Physical Address for Express Mail:
Department of Financial Institutions
Department of Financial Institutions
Phone: 608-261-7577
Division of Corporate & Consumer
Division of Corporate & Consumer
FAX: 608-267-6813
TTY: 711
Services
Services
201 W. Washington Ave – Suite 300
P O Box 7846
Madison WI 53707-7846
Madison WI 53703
NOTICE: This form may be used to accomplish a filing required or permitted by statute to be made with the
department. Information requested may be used for secondary purposes. This document can be made available in
alternate formats upon request to qualifying individuals with disabilities.
1. Enter the corporation name and state or country of organization of each non-surviving party to the merger.
Definitions of foreign entity types are set forth in sec.180.0103 (9), Wis. Stats. Select yes or no to indicate whether the
non-surviving party has a fee simple ownership interest in any Wisconsin real estate. See sec. 73.14 and 77.25, Wis.
Stats., or contact the Wisconsin Department of Revenue at (608)266-1594 for questions regarding fee simple
ownership interest and the filing requirements with that department.
2. Enter the corporation name (prior to any amendment to change the name) and state or country of organization of
the surviving corporation.
3. Indicate whether the surviving corporation is an indirect wholly owned subsidiary or parent. See sec. 180.11045,
Wis. Stats. for requirements. See sec. 180.11045(1)(b), Wis. Stats. for definition.
4. This statement is required per sec. 180.1105 (1)(cm) of the Wis. Stats.
5. A. OR B. Indicate any amendments to the articles of incorporation of the surviving corporation in section A. If there
are no amendments, indicate the name of the corporation that is a party to the merger whose articles of incorporation
will be the articles of incorporation of the surviving corporation in section B.
6. This statement is required per sec. 180.1105(f) of the Wis. Stats.
7. This statement is required per sec. 180.1105(g) of the Wis. Stats.
8. (Optional) If the merger is to take effect at a time other than the close of business on the day the articles of merger
are delivered to the department for filing, state the effective date or date and time. An effective date may not be earlier
than the date the document is delivered to the Department of Financial Institutions, nor a date more than 90 days after
its delivery.
9. Enter the date of execution and the name and title of the person signing the document.
If the document is executed in Wisconsin, sec. 182.01(3) provides that it shall not be filed unless the name of the
person (individual) who drafted it is printed, typewritten or stamped thereon in a legible manner. If the document is not
executed in Wisconsin, enter that remark.
DFI/CORP/2001(R02/14)
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