NAMES AND TYPES OF THE ENTITIES PROPOSING TO MERGE: All entities that are merging must be included in this section. List the entity name, entity type and registry number (if applicable).

NAME AND TYPE OF SURVIVING ENTITY: The surviving entity must be listed in this section. Check the box if the survivor name is changing.

OREGON CORPORATION AND LIMITED LIABILITY REQUIREMENT: This section is intended to provide information for mergers where the survivor is a domestic business (Oregon is the home jurisdiction). In order to comply with House Bill 2191, domestic limited liability companies and corporations must include the principal place of business and an individual with direct knowledge of the business operations. This information can be provided by including an information change form or it can be included in the attachments for the merger document. The information change form is not required, the information is the requirement.

SELECT ONE OF THE FOLLOWING STATEMENTS: Either the copy of the plan of merger is attached or the address where the plan of merger is on file at must be included. If the address is given and the plan is not attached, it must be available upon request to any owner, member or shareholder at no cost. State the effective date and time in plan of merger if other than when the articles are filed.

HOW WAS THE MERGER APPROVED: Either the copy of the vote required by each entity must be attached or check the box that shareholder approval was not required.

EXECUTION / SIGNATURE: Signer must declare as authorized signer, under penalty of perjury, that this document does not conceal fraudulently, fraudulently alters or misrepresents the identity of the person or any official, director, employee or agent of the corporation. This document has been examined and true, correct and complete. Making false statements in this document is against the law and can be penalized with fines, imprisonment or both.​​​​