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DOMESTIC OR FOREIGN UNINCORPORATED ENTITY STATE OF MAINE

ARTICLES OF ENTITY CONVERSION

_____________________ Deputy Secretary of State A True Copy When Attested By Signature

______________________________________
(Name of Unincorporated Entity Prior to Conversion)

_____________________ Deputy Secretary of State

Pursuant to 13-C MRSA §955.2 or §955.3, the undersigned unincorporated entity executes and delivers the following Articles of Entity Conversion: FIRST: The name of the unincorporated entity is changed as follows (the name must satisfy the requirements of 13-C MRSA §401): _______________________________________________________________________________________________ SECOND: (Foreign Unincorporated Entity Only) The unincorporated entity was organized in (state or country)

________________________________ and the date of organization was ___________________. THIRD: ("X" one box only.) (Domestic Unincorporated Entity) The plan of entity conversion was duly approved in accordance with the organic law of the unincorporated entity. (Foreign Unincorporated Entity) The conversion of the unincorporated entity was duly approved in the manner required by its organic law. FOURTH: All the statements required to be set forth in Articles of Incorporation (Form MBCA-6-1) are attached as Exhibit ________. FIFTH: The effective date of the articles of entity conversion (if other than the date of filing of the articles of entity conversion) is _______________________________. DATED _________________________ *By __________________________________________________
(signature of an officer or other duly authorized representative)

__________________________________________________
(type or print name and capacity)

*This document MUST be signed by an officer or other duly authorized representative. (13-C MRSA §955.2 or §955.3) Please remit your payment made payable to the Maine Secretary of State. SUBMIT COMPLETED FORMS TO: CORPORATE EXAMINING SECTION, SECRETARY OF STATE, 101 STATE HOUSE STATION, AUGUSTA, ME 04333-0101 FORM NO. MBCA-21A (1 of 1) Rev. 8/1/2004 TEL. (207) 624-7752