Fill - Free fillable Form 624General Information: (Certificate of Merger for Nonprofit (Texas Secretary of State) PDF form

Form 624

Instruction Page 1 - Do not submit with filing.

Form 624—General Information

(Certificate of Merger for Nonprofit Corporations)

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), of nonprofit corporations.

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 a 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 member’s consent, for liability

or other obligation of any other person.

Limitations on Mergers Involving Nonprofit Corporations: Section 10.010 limits the authority of a

nonprofit corporation to merge. The limitations are as follows:

 A domestic nonprofit corporation may not merge into another entity if the domestic nonprofit

corporation would, because of the merger, lose or impair its charitable status.

 One or more domestic or foreign for-profit entities or non-code organizations may merge into

one or more domestic nonprofit corporations that continue as the surviving entity or entities.

 A domestic nonprofit corporation may not merge with a foreign for-profit entity if the

domestic nonprofit corporation does not continue as the surviving entity.

 One or more domestic nonprofit corporations and non-code organizations may merge into

one or more foreign nonprofit entities that continue as the surviving entity or entities.

This form should be used when all of the entities that are parties to the merger or are to be created by

the merger are nonprofit corporations. Please consult an attorney for assistance with a merger

involving for-profit entities and non-code organizations other than foreign nonprofit corporations.

Formation Documents of New Domestic Nonprofit Corporation: If a Texas nonprofit corporation is

being created pursuant to the plan of merger, the certificate of formation of the nonprofit corporation

must be filed with the certificate of merger. Pursuant to section 3.005 of the BOC, the certificate of

formation of a domestic nonprofit corporation that is to be created by the plan of merger must contain

the statement that the domestic nonprofit corporation is being formed under a plan of merger. The

formation and existence of a domestic nonprofit corporation created pursuant to a plan of merger takes

effect and commences on the effectiveness of the merger (BOC § 3.006).

Instructions for Form

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

jurisdiction of formation for each party to the merger. If the name of a merging nonprofit

corporation 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

Form 624

Instruction Page 2 - Do not submit with filing.

assigned by the secretary of state to each domestic or foreign nonprofit corporation 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 in Lieu of Plan: 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: Nonprofit Corporations Created by Merger: Section 10.151(b) of the BOC requires the

identification of each domestic or foreign nonprofit corporation that is to be created by the plan of

merger. The identification must include: the legal name of the nonprofit corporation, which must

include an appropriate organizational designation (if applicable); the name of the jurisdiction in

which each new nonprofit corporation is to be incorporated; a description of the organizational form

of each new organization; and the principal place of business of each new corporation. In addition,

the certificate of merger must state that the certificate of formation of each new domestic nonprofit

corporation is being filed with the certificate of merger.

This form provides space for identifying up to three new nonprofit corporations. 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 its jurisdiction of formation and its governing documents.

Sections 22.251 and 22.253 of the BOC set forth the procedures and requirements for approval of the

plan of merger by a Texas nonprofit corporation. Unless otherwise provided by its certificate of

formation, the vote required for approval of a plan of merger is as follows:

Form 624

Instruction Page 3 - Do not submit with filing.

 If the nonprofit corporation that is a party to the merger has no members or no members with

voting rights, the plan of merger must be approved by the affirmative vote of the majority of

directors in office (BOC § 22.164(b)(3)).

 If management of the affairs of the nonprofit corporation is vested in its members, the

members must approve the plan of merger by at least two-thirds of the votes of members

present at the meeting at which the action is submitted for a vote (BOC § 22.164(b)(2)).

 If the corporation that is a party to the merger has members with voting rights, the board of

directors must adopt a resolution approving the merger and directing that the plan be

submitted to a vote of the members having voting rights. The members must approve the

plan of merger by the vote of at least two-thirds of the votes that members present in person

or by proxy are entitled to cast at the meeting at which the action is submitted for vote (BOC

§ 22.164(b)(1)).

 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: In lieu of the 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.

 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

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.

Form 624

Instruction Page 4 - Do not submit with filing.



Execution: Each domestic and foreign nonprofit corporation that is a party to the merger must sign

the certificate of merger. Pursuant to section 4.001 of the BOC, the certificate of merger must be

signed by a person authorized by the BOC to act on behalf of the merging entity in regard to the

filing instrument. Generally, a governing person or managerial official of the entity signs a filing

instrument.

In the case of a domestic nonprofit corporation, an authorized officer should sign the certificate of

merger (BOC § 20.001).

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 nonprofit

corporations is $50, plus the fee imposed for filing a certificate of formation for each newly

created domestic nonprofit corporation.

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.

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.

Form 624

Certificate of Merger

for Nonprofit Corporations

Form 624

(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 and Title 2 of the Texas Business Organizations Code, the undersigned parties submit this

certificate of merger.

The name, organizational form, state of incorporation, 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 nonprofit 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 nonprofit 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

Form 624

The organization is a nonprofit 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

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

In lieu of providing the plan of merger, each domestic nonprofit corporation certifies that:

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

domestic or foreign nonprofit corporation 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 or foreign nonprofit corporation to any member of any domestic nonprofit

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

multiple surviving domestic nonprofit corporations 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 nonprofit corporation that is a

party to the merger are effected by the merger.

3B. No amendments to the certificate of formation of any surviving nonprofit corporation are

being effected by the merger or by the restated certificate of formation of the surviving nonprofit

corporation 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 nonprofit corporation. 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 nonprofit

corporation’s certificate of formation.

Name of filing entity effecting amendments

Form 624

Amendment Text Area

4. Organizations Created by Merger

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

each domestic or foreign nonprofit corporation to be created pursuant to the plan of merger are set

forth below. The certificate of formation of each new domestic nonprofit corporation 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 members of

Name of domestic nonprofit corporation

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:

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.

In lieu 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 and title of authorized person (see instructions)

Printed or typed name of authorized person

Merging Entity Name

Signature and title of authorized person (see instructions)

Printed or typed name of authorized person

Merging Entity Name

Signature and title of authorized person (see instructions)

Printed or typed name of authorized person

Reset

Download
Save PDF to desktop

Email
Email completed PDF

Send for Signing
Email for others to sign

Print
Print document

NAME

Form 624General Information: (Certificate of Merger for Nonprofit (Texas Secretary of State)

View Audit Log
Print With Audit Log
Duplicate Document

Fill Online, Printable, Fillable, Blank Form 624General Information: (Certificate of Merger for Nonprofit (Texas Secretary of State) Form

Related forms

Fillable Form 624General Information: (Certificate of Merger for Nonprofit (Texas Secretary of State)

Fill Online, Printable, Fillable, Blank Form 624General Information: (Certificate of Merger for Nonprofit (Texas Secretary of State) Form

Related forms

First 20 documents completely FREE!