Notification Of Consolidation (Foreign Nonprofit Corporation) {08-455}

State of Alaska Division of Corporations, Business and Professional Licensing CORPORATIONS SECTION PO Box 110806 Juneau, AK 99811-0806 Phone: (907) 465-2550 Fax: (907) 465-2974 Website: www.commerce.alaska.gov/occ NOTIFICATION OF CONSOLIDATION Foreign Nonprofit Corporation AS 10.20.266 ­ 10.20.275 Filing Fee: $25.00 (non-refundable) INSTRUCTIONS (Please retain for your records): NOTICE: The Notification of Consolidation will not be filed if a biennial report is due or the signatures do not match what the Corporations Section has on record. Please verify the following before completing the application. o o Have all current biennial reports be filed? Are the officers/directors up to date on our records? To verify this information please search for the entity by going to Search Corporations Database in the Corporations Section of our website at www.commerce.alaska.gov/occ. If there is a biennial report due, the report may be filed online by selecting Biennial Reports on the Corporations Section page. If the officers/directors have changed, but no biennial report is due, please submit a Notice of Change located in the Forms and Fees section. Refer to Alaska Statutes 10.20.266 ­ 10.20.275. One or more foreign corporations and one or more domestic corporations may be merged or consolidated in the manner provided in AS 10.20.271 and 10.20.275 if the merger or consolidation is permitted by the laws of the state under which each foreign corporation is organized. ITEM 1: Provide the name(s) and, if applicable, the Alaska Entity Number(s) of the consolidating entities. ITEM 2: Provide the name and of the new entity. If the resulting entity will be transacting business in the State of Alaska, an application for Certificate of Authority must be filed. ITEM 3: A certified copy of the Articles of Consolidation filed in the home state must be attached. NOTE: If the surviving or new entity is governed by the laws of another state and is going to transact business in this state, it shall comply with the provisions of the Alaska Corporations Code (AS 10.06) with respect to foreign corporation and submit a Certificate of Authority to this office. Mail the Notification of Consolidation and the non-refundable $25.00 filing fee in U.S. dollars to: State of Alaska, Corporations Section, PO Box 110806, Juneau, AK 99811-0806 STANDARD PROCESSING TIME for complete and correct applications submitted to this office is approximately 10-15 business days. All applications are reviewed in the date order they are received. 08-455 (Rev. 02/01/2012) Notification of Consolidation Instructions American LegalNet, Inc. www.FormsWorkFlow.com State of Alaska Division of Corporations, Business and Professional Licensing CORPORATIONS SECTION PO Box 110806 Juneau, AK 99811-0806 Phone: (907) 465-2550 Fax: (907) 465-2974 Website: www.commerce.alaska.gov/occ DO NOT STAMP ABOVE THIS BOX Office Use Only CORP NOTIFICATION OF CONSOLIDATION Foreign Nonprofit Corporation AS 10.20.266 ­ 10.20.275 $25.00 Filing Fee (non-refundable) Pursuant to Alaska Statutes 10.20.266 ­ 10.20.275, one or more foreign corporations and one or more domestic corporations may be merged or consolidated in the manner provided in AS 10.20.271 and 10.20.275 if the merger or consolidation is permitted by the laws of the state under which each foreign corporation is organized. If the resulting entity will be transacting business in the State of Alaska, an application for Certificate of Authority must be filed. ITEM 1: Name of the consolidating entity: Alaska Entity # (if applicable): Name of the consolidating entity: Alaska Entity # (if applicable): Attach a separate sheet with additional entities, if necessary. ITEM 2: Name of the new entity: ITEM 3: A certified copy of the Articles of Consolidation filed in the home state must be attached. NOTE: If the surviving or new entity is governed by the laws of another state and is going to transact business in this state, it shall comply with the provisions of the Alaska Corporations Code (AS 10.06) with respect to foreign corporation and submit a Certificate of Authority to this office. Mail the Notification of Consolidation and the non-refundable $25.00 filing fee in U.S. dollars to: State of Alaska, Corporations Section, PO Box 110806, Juneau, AK 99811-0806 STANDARD PROCESSING TIME for complete and correct applications submitted to this office is approximately 10-15 business days. All applications are reviewed in the date order they are received. 08-455 (Rev. 02/01/2012) Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com State of Alaska Division of Corporations, Business and Professional Licensing CORPORATIONS SECTION PO Box 110806 Juneau, AK 99811-0806 Phone: (907) 465-2550 Fax: (907) 465-2974 Website: www.commerce.alaska.gov/occ DO NOT STAMP ABOVE THIS BOX Office Use Only CORP CONTACT INFORMATION SHEET Please return this document with your filing. This information will only be used to resolve questions with the filings attached. NOTE: this form will not be filed for record or appear online. Name of entity as it appears on filing: To resolve questions with this filing, contact: Name: Email: Mailing address: Return documents to: Name: Company: Mailing address: Attach this form to your filings. Send all documents to: State of Alaska, Corporations Section, PO Box 110806, Juneau, AK 99811-0806 STANDARD PROCESSING TIME for complete and correct applications submitted to this office is approximately 10-15 business days. All applications are reviewed in the date order they are received. Phone: 08-561 (Rev. 02/01/2012) Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com