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Get IL BCA-14.35 2003

6961 www.cyberdriveillinois.com This space for use by Secretary of State Date: Franchise Tax: Filing Fee: Penalty: Interest: Remit payment in the form of a check or money order, payable to Secretary of State. $ $5 $ $ Approved: 1. Corporate Name: ________________________________________________________________________________ 2. State or Country of Incorporation: ___________________________________________________________________ 3. Issued shares of each corporation party to the merger prio.

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