State of North Carolina
Department of the Secretary of State
APPLICATION FOR REGISTRATION
INCLUDING ARTICLES OF CONVERSION
Registered Limited Liability Partnership
Pursuant to §§ 59-73.12 and 59-84.2 of the General Statutes of North Carolina, the undersigned hereby submits this
application for registration including articles of conversion for the purpose of converting to a Registered Limited Liability
Partnership.
1. The name of the resulting partnership is: __________________________________________________________
(The name must contain the words “Registered Limited Liability Partnership,” “Limited Liability Partnership, or the
abbreviation “L.L.P.,” “R.L.L.P.,” “LLP,” or “RLLP”.)
2.
The domestic partnership is being formed pursuant to a conversion of another business entity.
3.
The name of the converting business entity is_________________________________________________________.
4.
The converting business entity is a (check one)
domestic corporation;
foreign corporation;
domestic
limited liability company;
foreign limited liability company;
domestic limited partnership;
foreign limited
partnership;
foreign limited liability partnership; or other partnership defined in G.S. 59-36 not formed under the
laws of North Carolina.
5.
The organization and internal affairs of the converting business entity are governed by the laws of the state or country
of __________________________________________________________________.
7.
A plan of conversion has been approved by the converting business entity as required by law.
8.
The street address of the partnership’s principal office is:
Number and Street ____________________________________________________________________________
City, State, Zip Code __________________________________________County__________________________
The mailing address, if different from the street address, of the partnership’s principal office is:
___________________________________________________________________________________________
9. The name of the initial registered agent is: _________________________________________________________
10. The street address and county of the initial registered office of the limited liability partnership is:
Number and Street ____________________________________________________________________________
City, State, Zip Code__________________________________________County__________________________
11. The mailing address, if different from the street address, of the initial registered office is:
___________________________________________________________________________________________
12. The fiscal year end of the partnership________________________.
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