Certificate Of Conversion From A Delaware Limited Liability Partnership To A Non-Delaware Entity - Delaware Division Of Corporations Page 2

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STATE OF DELAWARE
CERTIFICATE OF CONVERSION
FROM A DELAWARE
LIMITED LIABILITY PARTNERSHIP
TO A NON-DELAWARE ENTITY PURSUANT TO
SECTION 15-903 OF THE UNIFORM PARTNERSHIP ACT
1.) The name of the Limited Liability Partnership is ____________________________
________________________________________________________________.
(If changed, the name under which it’s statement of partnership existence was
originally filed: _______________________________________________________)
2.) The date of filing of its original statement of partnership existence with the Secretary
of State is _____________________________________________________________.
3.) The jurisdiction in which the business form, to which the limited liability partnership
shall be converted, is organized, formed or created is ___________________________.
4.) The conversion has been approved in accordance with this section;
5.) The limited liability partnership may be served with process in the State of Delaware
in any action, suit or proceeding for enforcement of any obligation of the limited liability
partnership arising while it was a limited liability partnership of the State of Delaware,
and that it irrevocably appoints the Secretary of State as its agent to accept service of
process in any such action, suit or proceeding.
6.) The address to which a copy of the process shall be mailed to by the Secretary of State
is
In Witness Whereof, the undersigned have executed this Certificate of Conversion on this
________ day of ________________, A.D. ______________.
By: _________________________
Partner(s)
Name: _________________________
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