Form Dscb:15-366ad - Statement Of Division - Addendum (Page 2 of 2) in pdf

DSCB:15-366AD-Instructions

Pennsylvania Department of State

Bureau of Corporations and Charitable Organizations

P.O. Box 8722

Harrisburg, PA 17105-8722

(717) 787-1057

Web site:

General Information

Typewritten is preferred. If handwritten, the form must be

foreign association, the address provided must be of its

legible and completed in black or blue-black ink in order to

registered office (a) or Commercial Registered Office Provider

permit reproduction.

(b) as on file with the Department of State.

This form and all accompanying documents shall be mailed to

If the new resulting association is a domestic association that

the address stated above.

is not a domestic filing association or limited liability

partnership, the address given must be the principal office,

including street and number, if any.

Who should file this form?

This form is used to identify additional resulting associations

that have been created by a division and must be submitted

If the new resulting association is a non-registered foreign

with a completed DSCB:15-366 (Statement of Division)

association, the address provided must be the address,

form.

including street and number, if any, of its registered or similar

office required to be maintained by the law of its jurisdiction

of formation; or if it is not required to maintain a registered or

Form Instructions

similar office, its principal office.

B. For the resulting association(s).

Complete the requested information for all new resulting

Post office boxes are not acceptable for any address. Under 15

associations of the division.

Pa.C.S. § 135(c) (relating to addresses) an actual street or rural

B.1. Give the exact name of each new resulting association.

route box number must be used as an address, and the

“Resulting association” means a dividing association, if it

Department of State is required to refuse to receive or file any

survives the division, or a new association that is created by a

document that sets forth only a post office box address.

division and comes into existence immediately after the

division becomes effective. 15 Pa.C.S. § 312.

B.5. In a division, some or all of the property and liabilities are

allocated between the dividing association and the resulting

The resulting association name must include the appropriate

associations. It is not necessary to list in the statement of

association designator. For example, if a new corporation is

division each individual liability or item of property of the

being created as a resulting association, an acceptable

dividing association to be allocated to a resulting association,

corporate identifier must be part of the association name. For

so long as the liabilities and property are described in a

domestic filing entity name requirements, see 15 Pa.C.S. §§

reasonable manner.

201-207. For foreign association name requirements, see 15

Pa.C.S. § 412 and § 414. Statutes are available on the

Pennsylvania General Assembly website,

, by following the link for Statutes.

This field is required.

B.2. Give the jurisdiction of formation of the resulting

association. “Jurisdiction of formation” means the jurisdiction

whose law includes the governing statute of the entity. For

example, if the resulting association is a Pennsylvania

corporation, then the jurisdiction of formation is Pennsylvania.

This field is required.

B.3. Check the appropriate box to indicate the resulting

association type. Only one box may be checked. This field is

required.

B.4. Check and complete one of the address boxes for the

resulting association, based on the criteria given. This field is

required.

If the new resulting association is a domestic filing

association, domestic limited liability partnership or registered

Form Dscb:15-366ad - Statement Of Division - Addendum Page 2

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