State of California
File#_________________________
Bill Jones
Secretary of State
CERTIFICATE OF LIMITED PARTNERSHIP- CONVERSION
IMPORTANT – Read all instructions before completing this form.
This Space For Filing Use Only
Name of limited partnership: (end the name with the words "Limited Partnership" or the abbreviation "L.P.")
1.
2.
Statement of Conversion:
.
.
A
B
C.
D.
Name of the converting entity
Type of entity
Jurisdiction
Secretary of State file number, if any
E. The principal terms of the plan of conversion were approved by a vote of the partners or members, which equaled or exceeded the
vote required under Section 16903 or 17540.3.
.
F
If a vote was required pursuant to Section 16903 or 17540.3, enter the outstanding interest of each class entitled to vote on the
conversion and the percentage of vote required:
Each class entitled to vote
Percentage of vote required
3.
Street address of chief executive office of the converted entity:
City
State
Zip
4.
Street address of California office where records are kept:
City
State
Zip
5.
Name the agent for service of process and check the appropriate provision below:
which is
[ ] an individual residing in California. Proceed to item 6.
[ ] a corporation which has filed a certificate pursuant to Section 1505. Proceed to item 7.
6.
If an individual, California address of the agent for service of process:
CA
City
State
Zip
7.
Name and addresses of all general partners: (attach additional pages, if necessary)
A. Name:
B.
Name:
Address:
Address:
City:
State:
Zip:
City:
State:
Zip:
8.
Indicate the number of general partners' signatures required for filing certificates of amendment, restatement, merger, dissolution,
continuation and cancellation.
9.
Other matters to be included in this certificate may be set forth on separate attached pages and are made a part of this certificate.
10. Number of pages attached, if any:
11. I certify that the statements contained in this document are true and correct to my own knowledge. I declare that I am the person
who is executing this instrument, which execution is my act and deed.
Signature of Authorized Person of Converting Entity
Type or Print Name and Title of Authorized Person
Date
Signature of Authorized Person of Converting Entity
Type or Print Name and Title of Authorized Person
Date
SEC/STATE FORM LP-1A (REV. 3/00)
Approved by Secretary of State