Form Llp-O1a - Application For Registration Including Articles Of Conversion - North Carolina Secretary Of State Page 2

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13. This registration will be effective upon filing, unless a date and/or time is specified: ________________________
This the _______day of _______________, 20________.
_______________________________________
_______________________________________
Signature
_______________________________________
Type or Print Name and Title
NOTES:
Filing fee is $125. This document must be filed with the Secretary of State.
CORPORATIONS DIVISION
P.O.BOX 29622
RALEIGH, NC 27626-06222
(Revised January, 2002)
Form LLP-01A

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