Combined Statement Of Conversion And Articles Of Organization Form - 2008 Page 2
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43. For the resulting entity, its entity name, form of entity, the jurisdiction under the law of which it is formed,
and the principal office address of its principal office are
Entity name of the
resulting entity
______________________________________________________
(The name of a limited liability company must contain the term or abbreviation “limited
liability company”, “ltd. liability company”, “limited liability co.”, “ltd. liability co.”,
“limited”, “l.l.c.”, “llc”, or “ltd.” §7-90-601, C.R.S.)
(Caution: The use of certain terms or abbreviations are restricted by law. Read instructions for more information.)
Form of the entity
domestic limited liability company
Jurisdiction where formed
Colorado
Principal office street address
______________________________________________________
(Street number and name)
______________________________________________________
__________________________ ____ ____________________
(City)
(State)
(Postal/Zip Code)
_______________________ ______________
(Province – if applicable)
(Country – if not US)
Principal office mailing address
______________________________________________________
(leave blank if same as above)
(Street number and name or Post Office Box information)
______________________________________________________
__________________________ ____ ____________________
(City)
(State)
(Postal/Zip Code)
_______________________ ______________.
(Province – if applicable)
(Country – if not US)
(If the following statement applies, adopt the statement by marking the box.)
The mailing address in the records of the Secretary of State is no longer different than the street
address and is no longer required.
Articles of Organization
1. The entity name is
______________________________________________________.
(The name of a limited liability company must contain the term or abbreviation “limited
liability company”, “ltd. liability company”, “limited liability co.”, “ltd. liability co.”,
“limited”, “l.l.c.”, “llc”, or “ltd.” §7-90-601, C.R.S.)
(Caution: The use of certain terms or abbreviations are restricted by law. Read instructions for more information.)
2. The principal office address of the initial principal office is
Street address
______________________________________________________
(Street number and name)
______________________________________________________
__________________________ ____ ____________________
(City)
(State)
(Postal/Zip Code)
_______________________ ______________
(Province – if applicable)
(Country – if not US)
CONVERT_LLC
Page 2 of 4
Rev. 7/21/2008
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