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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out Part I. Enter the current name of the entity or registrant, along with the entity number and state of incorporation if known.
  3. Provide the incorporation/qualification date in PA and the Federal EIN. If there is a specified effective date, include that as well.
  4. In Part II, check the appropriate box for your filing type—whether it's an amendment, merger, consolidation, division, conversion, correction, termination, revival, or dissolution.
  5. Proceed to Section A and check any boxes that pertain to changes such as name or registered office details. Fill in all required fields including purpose and stock information.
  6. If applicable, complete Sections B through H based on your selected filing type. Ensure all merging or consolidating entities are listed accurately.

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