Cover Letter Template Registration Section Division Of Corporations Page 2

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Certificate of Conversion
For
“Other Business Entity”
Into
Florida Limited Liability Company
This Certificate of Conversion and attached Articles of Organization are submitted to convert the
following “Other Business Entity” into a Florida Limited Liability Company in accordance with
s.608.439, Florida Statutes.
1. The name of the “Other Business Entity” immediately prior to the filing of this Certificate of
Conversion is:
.
(Enter Name of Other Business Entity)
2. The “Other Business Entity” is a
.
(Enter entity type. Example: corporation, limited partnership,
general partnership, common law or business trust, etc.)
first organized, formed or incorporated under the laws of
(Enter state, or if a non-U.S. entity, the name of the country)
on
.
(Enter date “Other Business Entity” was first organized, formed or incorporated)
3. If the jurisdiction of the “Other Business Entity” was changed, the state or country under the laws of
which it is now organized, formed or incorporated:
.
4. The name of the Florida Limited Liability Company as set forth in the attached Articles of
Organization:
.
(Enter Name of Florida Limited Liability Company)
5. If not effective on the date of filing, enter the effective date:
.
(The effective date: 1) cannot be prior to nor more than 90 days after the date this document is
filed by the Florida Department of State; AND 2) must be the same as the effective date listed in the
attached Articles of Organization, if an effective date is listed therein.)
6. The conversion is permitted by the applicable law(s) governing the other business entity and the
conversion complies with such law(s) and the requirements of s.608.439, F.S., in effecting the conversion.
7. The “Other Business Entity” currently exists on the official records of the jurisdiction under which it is
currently organized, formed or incorporated.
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