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CHARLES P. WHITE
ARTICLES OF ENTITY CONVERSION:
SECRETARY OF STATE
Conversion of an Indiana Non-Corporation Business Entity into an
CORPORATE DIVISION
Indiana Limited Partnership
302 W. Washington Street, Rm. E018
Indianapolis, IN 46204
State Form 51573 (R / 2-11)
Telephone: (317) 232-6576
Approved by State Board of Accounts, 2004
INSTRUCTIONS: Use 8 ½” x 11” white paper for attachments.
Present original and one copy to the address in upper right corner of this form.
Indiana Code 23-1-18-3
Please TYPE or PRINT.
FILING FEE: $30.00
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ARTICLES OF CONVERSION
OF
____________________________________________________________________________
(hereinafter “Non-surviving Business Entity”)
INTO
____________________________________________________________________________
(hereinafter “Surviving LP”)
ARTICLE I: PLAN OF ENTITY CONVERSION
a.
Please set forth the Plan of Conversion, containing such information as required by Indiana Code 23-1-38.5-11, attach herewith, and designate it as
“Exhibit A.”
The plan must specify the following:
•
A statement indicating that the type of business entity the surviving entity will be is an LP;
•
The terms and conditions of the conversion;
•
The manner and basis of converting the interests, securities, obligations, rights to acquire interests or other securities of Non-surviving
Business Entity following its conversion into the shares of Surviving LP; and
•
The full text, as in effect immediately after the consummation of the conversion, of the organic documents, if any, of Surviving LP.
b.
Please read and sign the following statement.
I hereby affirm under penalty of perjury that the plan of conversion is in accordance with the organic document of Non-surviving Business Entity and
is duly authorized as required by the laws of the State of Indiana.
Signature ________________________________ Printed Name ________________________________ Title ______________________________
ARTICLE II: NAME AND TYPE OF NON-SURVIVING BUSINESS ENTITY
a.
The name of Non-surviving Business Entity immediately before filing these Articles of Entity Conversion is the following:
______________________________________________________________________________________________________________________
b.
Please state the type of business entity of Non-surviving Business Entity below.
______________________________________________________________________________________________________________________
ARTICLE III: NAME AND PRINCIPLE OFFICE OF SURVIVING LP
a.
The name of Surviving LP is the following:
__________________________________________________________________________________________________________________________
•
(Please note pursuant to Indiana Code 23-16-2-1, this name must include the words “Limited Partnership”, “L.P.”, or “LP”).
b.
The address of Surviving LP’s Principal Office is the following:
Street Address (number and street)
City
State
ZIP code