_______________________ CREDIT UNION


The undersigned officers of _________________________Credit Union certify as follows:

1.   A notice of the meeting of members called to consider the merger or the ballot for written vote on the merger of ____________________________________ Credit Union with and into _________________________________ Credit Union ("Merger") was given to each member entitled to vote upon the question, personally or by first class mail, not less than 30 nor more than 90 days prior to the date of the meeting.  A copy of the notice or ballot is attached hereto as Exhibit 1.

2.   The notice or ballot disclosed the purpose of the meeting or the written vote.

3.   The notice or ballot informed the membership that approval of the Merger might be sought pursuant to Section 15201(b) of the Credit Union Law.

We declare under penalty of perjury that the foregoing is true of our own knowledge and that this declaration was executed on _____________________________ , 20__, in ____________________________.



Signature of Chairman of the Board,
President or Vice President

Type Name and Title

Signature of Secretary, Chief Financial Officer, Treasurer,
Assistant Secretary or Assistant Treasurer

Type Name and Title

This sample officers' certificate is for use by the disappearing credit union in the case of a California credit union merging with another California credit union or a federal credit union pursuant to Financial Code Section 15201(b). This sample is provided only as an illustration of an officers' certificate. Refer to the requirements of Financial Code Sections 15200, et seq. and Corporations Code Sections 8010, et seq. Note: In submitting this certificate, please omit the Department of Business Oversight form header and use the appropriate business letterhead.

Form 340 (Rev. 08-13)