Form 700 - Certificate Of Conversion For Entities Converting Within Or Off The Records Of The Ohio Secretary Of State 2008

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Expedite this form: (select one)
Form 700 Prescribed by the:
Mail form to one of the following:
Ohio Secretary of State
PO Box 1390
Expedite
Central Ohio: (614) 466-3910
Columbus, OH 43216
Toll Free: (877) SOS-FILE (767-3453)
*** Requires an additional fee of $100 ***
Non Expedite
PO Box 1329
Columbus, OH 43216
Busserv@sos.state.oh.us
CERTIFICATE OF CONVERSION FOR ENTITIES CONVERTING
WITHIN OR OFF THE RECORDS OF THE OHIO SECRETARY OF STATE
Filing Fee: $125
(CHECK ONLY ONE (1) BOX)
(1)
Converting Within The Records of the Ohio
(2)
Converting Off The Records of the Ohio
Secretary of State
Secretary of State
(187-VXX)
Name of the converting entity:
Jurisdiction of Formation:
Charter/Registration Number:
The converting entity is a:
(Check Only (1) One Box)
Domestic Corporation
Partnership
Foreign Corporation
Domestic Limited Partnership
g
p
p
Domestic Nonprofit Limited Liability Company
Foreign Limited Partnership
Foreign Nonprofit Limited Liability Company
Domestic Limited Liability Partnership
Domestic For-Profit Limited Liability Company
Foreign Limited Liability Partnership
Foreign For-Profit Limited Liability Company
Business Trust
The converting entity hereby states that it has complied with all laws in the jurisdiction under which it exists
and that those laws permit the conversion.
Name of the converted entity:
Jurisdiction of Formation:
The converted entity is a:
(Check Only (1) One Box)
Domestic Corporation
Partnership
Foreign Corporation
Domestic Limited Partnership
Domestic Nonprofit Limited Liability Company
Foreign Limited Partnership
Foreign Nonprofit Limited Liability Company
Domestic Limited Liability Partnership
Domestic For-Profit Limited Liability Company
Foreign Limited Liability Partnership
Foreign For-Profit Limited Liability Company
Business Trust
Form 700
Page 1 of 7
Last Revised: 12/01/2008

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