Fill - Free fillable Form 622General Information: (Certificate of MergerCombination Merger) Commentary (Texas Secretary of State) PDF form

Form 622

Instruction Page 1 - Do not submit with filing.

Form 622—General Information

(Certificate of Merger—Combination Merger)

The attached form is designed to meet minimal statutory filing requirements pursuant to the relevant

code provisions. This form and the information provided are not substitutes for the advice and services of an

attorney and tax specialist.

Commentary

This certificate of merger is to be used to effect a merger as defined by section 1.002(55)(B) of the

Texas Business Organizations Code (BOC). A merger, as defined by that section, means the

combination of one or more domestic entities with one or more domestic entities or non-code

organizations resulting in:

(1) one or more surviving domestic entities or non-code organizations;

(2) the creation of one or more new domestic entities or non-code organizations; or

(3) one or more surviving domestic entities or non-code organizations and the creation of one or

more new domestic entities or non-code organizations.

The certificate of merger is required to be filed with the secretary of state if any domestic entity that is a

party to the merger is a filing entity, or if any domestic entity to be created under the plan of merger is a

filing entity. A domestic filing entity may effect a merger by complying with the applicable provisions

of chapter 10 of the BOC, as well as the title and chapter applicable to the domestic entity. To effect the

merger, the domestic entity must set forth a plan of merger that is approved in the manner prescribed by

the BOC. A domestic entity may not merge if an owner or member of that entity that is a party to the

merger will, as a result of the merger, become subject to owner liability, without that owner’s or

member’s consent, for liability or other obligation of any other person.

If one or more non-code organizations is a party to the merger or is to be created by the merger, each

non-code organization must effect the merger by taking all action required by the BOC and its governing

documents, and the merger must be permitted by the law of the state or country under whose law each

non-code organization is incorporated or organized, or the governing documents of each non-code

organization if the documents are not inconsistent with such law.

This certificate of merger form is not designed to effect the short form merger of a parent organization

with a subsidiary organization under section 10.006 of the BOC. Form 623 may be used for this

purpose.

Form 621 should be used to effect a merger that divides a single domestic entity into two or more new

domestic entities or non-code organizations.

Formation Documents of New Domestic Filing Entities: If a domestic filing entity is being created

pursuant to the plan of merger, the certificate of formation of the entity must be filed with the certificate

of merger. Pursuant to section 3.005 of the BOC, the certificate of formation of a domestic filing entity

that is to be created by the plan of merger must contain the statement that the domestic filing entity is

being formed under a plan of merger. The formation and existence of a domestic filing entity created

pursuant to a plan of merger takes effect and commences on the effectiveness of the merger (BOC §

3.006).

Form 622

Instruction Page 2 - Do not submit with filing.

Registration as a Limited Liability Partnership: A general partnership or limited partnership that is

created by a plan of merger may file for registration to become a limited liability partnership by

complying with section 152.803 of the BOC and by filing an application for registration with the

secretary of state in accordance with section 152.802.

Instructions for Form

 Parties to the Merger: The certificate of merger must state the name, organizational form, and the

jurisdiction in which each domestic entity or non-code organization is incorporated or organized. If

the name of a merging domestic filing entity is to be changed pursuant to the plan of merger, state

the current name, indicate that the name is to be changed, and state the name as amended. It is

recommended that the file number assigned by the secretary of state to each domestic or foreign

filing entity that is a party to the merger be provided to facilitate processing of the document. It is

required that you indicate whether a party to the merger is to survive the merger.

 Plan of Merger: Unless the parties to the merger opt to complete the Alternative Statements section

of this form, a plan of merger conforming to the requirements of section 10.002 of the BOC must be

attached to the certificate of merger. If more than one organization is to survive the merger, the plan

of merger also must include the information required under section 10.003 of the BOC.

 Alternative Statements Option: As an alternative to attaching the complete plan of merger, the

parties to the merger may opt to certify and complete the statements contained in the Alternative

Statements section of the form (items 1-4).

Items 3A-3D—Amendments: A plan of merger may include amendments to, restatements of, or

amended and restatements of the certificate of formation of any surviving organization. If a filing

entity is to survive the merger, the alternative statements must include a statement that: (A) no

amendments or changes to the certificate of formation of any filing entity are to be effected by the

merger; (B) no amendments or changes to the certificate of formation of a filing entity are being

effected by the merger or by the restated certificate of formation attached to the certificate of merger;

as set forth in the attached restated certificate of formation containing amendments; or (D) identifies

the amendments to be effected to the certificate of formation of a surviving filing entity.

Option 3A is the default selection unless the plan of merger amends, restates, or amends and restates

the certificate of formation of a surviving filing entity. If option B is selected, attach the restated

certificate of formation without further amendments of the filing entity as an exhibit to the certificate

of merger. If C is selected, attach the restated certificate of formation containing further

amendments to the certificate of merger. If D is selected, state the amendments or changes in the

text area provided on the form. If the space provided is insufficient, the amendments may be

provided as an exhibit to the certificate of merger.

Item 4: Organizations Created by Merger: Section 10.151(b) of the BOC requires the identification

of each domestic entity or non-code organization that is to be created by the plan of merger. The

identification must include: the legal name of the entity, which must include an appropriate

organizational designation; the name of the jurisdiction in which each new organization is to be

incorporated or organized; a description of the organizational form of each new organization (e.g.,

for-profit corporation, limited partnership, etc.); and the principal place of business of the new

organization. In addition, the certificate of merger must state that the certificate of formation of each

new filing entity is being filed with the certificate of merger.

Form 622

Instruction Page 3 - Do not submit with filing.

This form provides space for identifying up to three new organizations. Should the space provided

be insufficient, provide the additional information in the format specified as an attachment or

exhibit.

 Approval of the Plan of Merger: The certificate of merger must include a statement that the plan

of merger has been approved by each organization that is a party to the merger as required by the

laws of the jurisdiction of formation and its governing documents. If approval of the owners or

members of any domestic entity that is a party to the merger is not required by the BOC, provide the

name of the domestic entity to which the statement applies in the space provided on the form.

For-profit or Professional Corporation and Professional Association

Section 21.452 and sections 21.456 to 21.458 of the BOC set forth the procedures and requirements

for approval of the plan of merger by a Texas for-profit corporation, professional corporation, or

professional association. Generally, unless required otherwise by the certificate of formation or

unless otherwise provided by the BOC, the affirmative vote of the holders of at least two-thirds of

the outstanding shares of the corporation entitled to vote on the matter would be required to approve

the transaction.

Section 21.459 of the BOC sets forth the circumstances under which the approval of the shareholders

of the sole surviving entity in the merger is not required.

Limited Liability Company

Section 101.355 of the BOC sets forth the voting requirements for a fundamental business

transaction. The affirmative vote of the majority of all the company’s members would be required to

approve the plan of merger.

Limited Partnership

Pursuant to section 10.009 of the BOC, the partnership agreement of each domestic partnership that

is a party to the merger must contain provisions that authorize the merger provided for in the plan of

merger adopted by the partnership. Each domestic partnership that is a party to the merger must

approve the plan of merger in the manner prescribed by its partnership agreement.

 Effectiveness of Filing: A certificate of merger becomes effective when accepted and filed by the

secretary of state (option A). However, pursuant to sections 4.052 and 4.053 of the BOC the

effectiveness of the instrument may be delayed to a date not more than ninety (90) days from the

date the instrument is signed (option B). The effectiveness of the instrument also may be delayed on

the occurrence of a future event or fact, other than the passage of time (option C). If option C is

selected, you must state the manner in which the event or fact will cause the instrument to take effect

and the date of the 90

day after the date the instrument is signed. In order for the certificate to take

effect under option C, the entity must, within ninety (90) days of the filing of the certificate, file a

statement with the secretary of state regarding the event or fact pursuant to section 4.055 of the

BOC.

On the filing of a document with a delayed effective date or condition, the computer records of the

secretary of state will be changed to show the filing of the document, the date of the filing, and the

future date on which the document will be effective or evidence that the effectiveness was

Form 622

Instruction Page 4 - Do not submit with filing.

conditioned on the occurrence of a future event or fact. In addition, at the time of such filing, the

status of a non-surviving domestic filing entity will be shown as “merged” and the status of any new

domestic filing entity created by the merger will be shown as “in existence” on the records of the

secretary of state.

 Tax Certificate: The secretary of state may not accept a certificate of merger for filing if the

required franchise taxes have not been paid (BOC § 10.156). The certificate of merger must be

accompanied by a certificate of account status from the Texas Comptroller of Public Accounts

indicating that all taxes under title 2 of the Tax Code have been paid and that the non-surviving party

to the merger may legally end its existence in Texas. Please note that the Comptroller issues many

different types of certificates of account status. You need to attach form #05-305, which is issued by

the Comptroller of Public Accounts, for each non-surviving party to the merger. Do not attach a

print-out of the entity’s franchise tax account status obtained from the Comptroller’s web site as this

does not meet statutory requirements.

Requests for certificates or questions on tax status should be directed to the Tax Assistance Section,

Comptroller of Public Accounts, Austin, Texas 78774-0100; (512) 463-4600 or toll-free (800) 252-

1381. You also may contact tax.help@cpa.state.tx.us.

Alternative: Instead of a tax certificate, the certificate of merger may provide that one or more of the

surviving, new, or acquiring organizations is liable for the payment of the required franchise taxes.

 Execution: Each domestic entity and non-code organization that is a party to the merger must sign

the certificate of merger. Pursuant to section 10.151(b) of the BOC, the certificate of merger must

be signed by an officer or other authorized representative of each party to the merger. Generally, a

governing person or managerial official of a domestic filing entity signs a filing instrument.

In the case of a corporation or professional association, an authorized officer should sign the

certificate of merger (BOC § 20.001). A certificate of merger filed by a limited liability company

should be signed by an authorized manager if the company has managers. If the company does not

have managers and is managed by its members, an authorized managing-member must sign the

certificate of merger. A certificate of merger filed by a limited partnership should be signed by at

least one general partner. The execution of a certificate by a general partner is an oath or affirmation,

under a penalty of perjury, that to the best of the executing party’s knowledge and belief, the facts

contained in the certificate are true and correct (BOC 153.553(c)).

The certificate of merger need not be notarized. However, before signing, please read the statements

on this form carefully. A person commits an offense under section 4.008 of the BOC if the person

signs or directs the filing of a filing instrument the person knows is materially false with the intent

that the instrument be delivered to the secretary of state for filing. The offense is a Class A

misdemeanor unless the person’s intent is to harm or defraud another, in which case the offense is a

state jail felony.

 Payment and Delivery Instructions: The filing fee for a certificate of merger of a domestic filing

entity is $300, plus the fee imposed for filing a certificate of formation for each newly created

filing entity.

Fees may be paid by personal checks, money orders, LegalEase debit cards, or American Express,

Discover, MasterCard, and Visa credit cards. Checks or money orders must be payable through a

U.S. bank or financial institution and made payable to the secretary of state. Fees paid by credit card

are subject to a statutorily authorized convenience fee of 2.7 percent of the total fees.

Form 622

Instruction Page 5 - Do not submit with filing.

Submit the completed form in duplicate along with the filing fee. The form may be mailed to P.O.

Box 13697, Austin, Texas 78711-3697; faxed to (512) 463-5709; or delivered to the James Earl

Rudder Office Building, 1019 Brazos, Austin, Texas 78701. If a document is transmitted by fax,

credit card information must accompany the transmission (Form 807). On filing the document, the

secretary of state will return the appropriate evidence of filing to the submitter together with a file-

stamped copy of the document, if a duplicate copy was provided as instructed.

Revised 12/15

This space reserved for office use.

Certificate of Merger

Combination Merger

Business Organizations Code

Form

622

(Revised 12/15)

Return in duplicate to:

Secretary of State

P.O. Box 13697

Austin, TX 78711-3697

512 463-5555

FAX: 512 463-5709

Filing Fee: see instructions

Parties to the Merger

Pursuant to chapter 10 of the Texas Business Organizations Code, and the title applicable to each domestic filing entity

identified below, the undersigned parties submit this certificate of merger.

The name, organizational form, state of incorporation or organization, and file number, if any, issued

by the secretary of state for each organization that is a party to the merger are as follows:

Party 1

Name of Organization

The organization is a

Specify organizational form (e.g., for-profit corporation)

It is organized under the laws of

State Country

The file number, if any, is

Texas Secretary of State file number

Its principal place of business is

Address City State

The organization will survive the merger. The organization will not survive the merger.

The plan of merger amends the name of the organization. The new name is set forth below.

Name as Amended

Party 2

Name of Organization

The organization is a

Specify organizational form (e.g., for-profit corporation)

It is organized under the laws of

State Country

The file number, if any, is

Texas Secretary of State file number

Its principal place of business is

Address City State

The organization will survive the merger. The organization will not survive the merger.

The plan of merger amends the name of the organization. The new name is set forth below.

Name as Amended

Party 3

Name of Organization

The organization is a

Specify organizational form (e.g., for-profit corporation)

It is organized under the laws of

Form 622

State Country

The file number, if any, is

Texas Secretary of State file number

Its principal place of business is

Address City State

The organization will survive the merger. The organization will not survive the merger.

The plan of merger amends the name of the organization. The new name is set forth below.

Name as Amended

Plan of Merger

The plan of merger is attached.

If the plan of merger is not attached, the following statements must be completed.

Alternative Statements

Instead of providing the plan of merger, each domestic filing entity certifies that:

1. A plan of merger is on file at the principal place of business of each surviving, acquiring, or new

domestic entity or non-code organization that is named in this form as a party to the merger or an

organization created by the merger.

2. On written request, a copy of the plan of merger will be furnished without cost by each surviving,

acquiring, or new domestic entity or non-code organization to any owner or member of any domestic

entity that is a party to or created by the plan of merger and, if the certificate of merger identifies

multiple surviving domestic entities or non-code organizations, to any creditor or oblige of the parties

to the merger at the time of the merger if a liability or obligation is then outstanding.

Item 3A is the default selection. If the merger effected an amendment to, a restatement of, or an amendment and restatement of the

certificate of formation of a surviving filing entity, you must select and complete one of the options shown below. Options 3B and 3C

require the submission of the described attachment.

3A. No amendments to the certificate of formation of any surviving filing entity that is a party to the

merger are effected by the merger.

3B. No amendments to the certificate of formation of any filing entity are being effected by the

merger or by the restated certificate of formation of the surviving filing entity named in the attached

restated certificate of formation.

3C. The plan of merger effected an amendment and restatement of the certificate of formation of

a surviving filing entity. The amendments being made and the name of the surviving entity restating

its certificate of formation are set forth in the attached restated certificate of formation containing

amendments.

3D.

The plan of merger effected amendments or changes to the following surviving filing entity’s

certificate of formation.

Name of filing entity effecting amendments

The changes or amendments to the filing entity’s certificate of formation, other than the name change

noted previously, are stated below.

Form 622

Amendment Text Area

4. Organizations Created by Merger

The name, jurisdiction of organization, principal place of business address, and entity description of

each entity or other organization to be created pursuant to the plan of merger are set forth below. The

certificate of formation of each new domestic filing entity to be created is being filed with this

certificate of merger.

Name of New Organization 1 Jurisdiction Entity Type (See instructions)

Principal Place of Business Address City State Zip Code

Name of New Organization 2 Jurisdiction Entity Type (See instructions)

Principal Place of Business Address City State Zip Code

Name of New Organization 3 Jurisdiction Entity Type (See instructions)

Principal Place of Business Address City State Zip

Approval of the Plan of Merger

The plan of merger has been approved as required by the laws of the jurisdiction of formation of each

organization that is a party to the merger and by the governing documents of those organizations.

The approval of the owners or members of

Name of domestic entity

was not required by the provisions of the BOC.

Effectiveness of Filing

(Select either A, B, or C.)

A. This document becomes effective when the document is accepted and filed by the secretary of

state.

B. This document becomes effective at a later date, which is not more than ninety (90) days from

the date of signing. The delayed effective date is:

C. This document takes effect on the occurrence of the future event or fact, other than the

passage of time. The 90

day after the date of signing is:

The following event or fact will cause the document to take effect in the manner described below:

Form 622

Text Area

Tax Certificate

Attached hereto is a certificate from the comptroller of public accounts that all taxes under title

2, Tax Code, have been paid by the non-surviving filing entity.

Instead of providing the tax certificate, one or more of the surviving, acquiring or newly created

organizations will be liable for the payment of the required franchise taxes.

Execution

The undersigned signs this document subject to the penalties imposed by law for the submission of a

materially false or fraudulent instrument. The undersigned certifies that the statements contained

herein are true and correct, and that the person signing is authorized under the provisions of the

Business Organizations Code, or other law applicable to and governing the merging entity, to execute

the filing instrument.

Date:

Merging Entity Name

Signature of authorized person (see instructions)

Printed or typed name of authorized person

Merging Entity Name

Signature of authorized person (see instructions)

Printed or typed name of authorized person

Merging Entity Name

Signature of authorized person (see instructions)

Printed or typed name of authorized person

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