Form Ss-4489 - Conversion Of A Limited Liability Partnership (From Limited Partnership Or General Partnership)

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For Offi ce Use Only
CONVERSION OF A LIMITED
LIABILITY PARTNERSHIP
(FROM LIMITED PARTNERSHIP OR
Corporate Filings
GENERAL PARTNERSHIP)
312 Rosa L. Parks Avenue
6
th
Floor, William R. Snodgrass Tower
Nashville, TN 37243
Pursuant to the provisions of the Tennessee Uniform Partnership Act, Section 61-1-1001, the undersigned
hereby adopts the following:
1. Name of the LLP (The name must include the words Limited Liability Partnership or the abbreviation L.L.P.
or LLP):
2. Please insert the principal address:
(Street)
(City)
(State)
(Zip Code)
3. A brief statement of the business in which the partnership is engaged:
4. Other provisions:
5. The name and address of the Limited Liability Partnership's initial registered agent and offi ce in Tennessee is:
(Name)
TN
(Street Address)
(City)
(State/ Zip Code)
(County)
6. The terms and conditions of the conversion from a limited partnership or general partnership have been approved as
required by T.C.A. Section 61-1-1001(b).
7. Number of partners at date of fi ling:
8. If the document is not to be effective upon fi ling by the Secretary of State, the delayed effective date and time is:
________________________________ , _______________ (date), ______________________________ (time)
th
[Note: A delayed effective date may not be later than the 90
day after the date this document is fi led by the Secretary of State.]
9. If the limited partnership was fi led in the Register of Deeds prior to January 1, 1989, and did not elect to be
governed by Chapter 2 of Title 61 of the Tennessee Code Annotated, as amended, please attach a statement
indicating which county Register of Deeds offi ce the certifi cate of limited partnership and all amendments
thereto were fi led, including the date of the fi lings and the book(s) and page(s) or other fi le reference number(s).
(Note: The application must be executed by one or more authorized partners. Attach additional sheet if necessary)
Signature Date
Signature
Partner
Name (typed or printed)
SS-4489 (Rev. 10/08)
Filing Fee: $50.00 per member (minimum fee = $250, maximum fee = $2,500)
RDA 2515

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