Form Lp-1a - Certificate Of Limited Partnership - Conversion

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LP-1A
File # ___________________________________
State of California
Secretary of State
Certificate of Limited Partnership - Conversion
Important — Read all instructions before completing this form.
This Space For Filing Use Only
Converted Entity Information
1. Name of Limited Partnership (End the name with the words Limited Partnership or the abbreviation LP or L.P.)
2.
Names and Address of All General Partners (Attach additional pages, if necessary.)
Name
Address
City
State
Zip Code
Name
Address
City
State
Zip Code
3a. Initial Street Address of Limited Partnership's Designated Office in CA
City
State
Zip Code
CA
3b. Initial Mailing Address of Limited Partnership, if different from Item 3a
City
State
Zip Code
4.
Initial Agent for Service of Process:
Item 4a: List the name of an individual or a corporation registered in CA under California Corporations Code
section 1505 that agrees to be your agent for service of process. You may not list the converted entity as the agent. Item 4b: If the agent is an
individual, list the agent's CA business or residential street address. Item 4c: If the agent is an individual and the converting entity is a CA corporation or
general partnership, list the the agent's mailing address. Do not list an address if the agent is a CA registered corporate agent as the address for
service of process is already on file.
a. Name of Agent For Service of Process
b. If an individual, Street Address of Agent for Service of Process - Do not list a P.O. Box
City
State
Zip Code
CA
c. If an individual, Mailing Address of Agent for Service of Process
City
State
Zip Code
Converting Entity Information
5. Name of Converting Entity
6. Form of Entity
7. Jurisdiction
8. CA Secretary of State File Number, if any
9.
The principal terms of the plan of conversion were approved by a vote of the number of interests or shares of each class that equaled or
exceeded the vote required. If a vote was required, the following was required for each class:
The class and number of outstanding interests entitled to vote.
The percentage vote required of each class.
AND
Additional Information
10. Additional information set forth on the attached pages, if any, is incorporated herein by this reference and made a part of this certificate.
I certify under penalty of perjury that the contents of this document are true. I declare I am the person who executed this intrument, which
11.
execution is my act and deed.
Signature of Authorized Person
Type or Print Name and Title of Authorized Person
Signature of Authorized Person
Type or Print Name and Title of Authorized Person
LP-1A (REV 01/2016)
APPROVED BY SECRETARY OF STATE
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