Free 51577.pdf - Indiana

ARTICLES OF ENTITY CONVERSION:
Conversion of an Indiana Non-Corporation Business Entity into an Indiana Limited Liability Company
State Form 51577 (1-04) Approved by State Board of Accounts, 2004 INSTRUCTIONS: Use 8 ½" x 11" white paper for attachments. Present original and one copy to the address in upper right corner of this form. Please TYPE or PRINT. Please visit our office on the web at www.sos.in.gov.

TODD ROKITA SECRETARY OF STATE CORPORATE DIVISION 302 W. Washington Street, Rm. E018 Indianapolis, IN 46204 Telephone: (317) 232-6576

Indiana Code 23-1-18-3

FILING FEE: $30.00

ARTICLES OF CONVERSION OF

____________________________________________________________________________
(hereinafter "Non-surviving Business Entity")

INTO

____________________________________________________________________________
(hereinafter "Surviving LLC")

ARTICLE I: PLAN OF ENTITY CONVERSION
a. Please set forth the Plan of Conversion, containing such information as required by Indiana Code 23-1-38.5-11, attach herewith, and designate it as "Exhibit A." The plan must specify the following: · A statement indicating that the type of business entity the surviving entity will be is an LLC; · The terms and conditions of the conversion; · The manner and basis of converting the interests, securities, obligations, rights to acquire interests or other securities of Non-surviving Business Entity following its conversion into the shares of Surviving LLC; and · The full text, as in effect immediately after the consummation of the conversion, of the organic documents, if any, of Surviving LLC. Please read and sign the following statement. I hereby affirm under penalty of perjury that the plan of conversion is in accordance with the organic document of Non-surviving Business Entity and is duly authorized as required by the laws of the State of Indiana. Signature ________________________________ Printed Name _______________________________ Title ______________________________

b.

ARTICLE II: NAME AND TYPE OF NON-SURVIVING BUSINESS ENTITY
a. The name of Non-surviving Business Entity immediately before filing these Articles of Entity Conversion is the following: ______________________________________________________________________________________________________________________ b. Please state the type of business entity of Non-surviving Business Entity below. ______________________________________________________________________________________________________________________

ARTICLE III: NAME AND PRINCIPAL OFFICE OF SURVIVING LLC
a. The name of Surviving LLC is the following:

__________________________________________________________________________________________________________________________ · (Please note pursuant to Indiana Code 23-18-2-8, this name must include the words "Limited Liability Company", "L.L.C.", or "LLC"). b. The address of Surviving LLC's Principal Office is the following:

Street Address

City

State

Zip Code

ARTICLE IV: REGISTERED OFFICE AND AGENT OF SURVIVING LLC
Registered Agent: The name and street address of Surviving LLC's Registered Agent and Registered Office for service of process are the following:
Name of Registered Agent

Address of Registered Office (street or building only, no PO

City

Zip Code

Indiana

ARTICLE V: DISSOLUTION OF SURVIVING LLC
Please indicate when dissolution will take place in Surviving LLC: The latest date upon which Surviving LLC is to dissolve is _______________________________________, Surviving LLC is perpetual until dissolution. OR

ARTICLE VI: MANAGEMENT OF SURVIVING LLC
Surviving LLC will be managed by: (please indicate which) The members of Surviving LLC, A manager or managers OR

In Witness Whereof, the undersigned being an officer or other duly authorized representative of above-stated Surviving LLC executes these Articles of Entity Conversion and verifies, subject to penalties of perjury, that the statements contained herein are true,

this ________________________ day of ______________________________, 20__________.

Signature

Printed Name

Title