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Illinois Uniform Limited Partnership Act
LP 1104
Form
FILE #:
Articles of Conversion
June 2010
This space for use by Secretary of State.
Secretary of State
SUBMIT IN DUPLICATE
Department of Business Services
Limited Liability Division
Please type or print clearly.
501 S. Second St., Rm. 357
This space for use by Secretary of State.
Springfield, IL 62756
217-524-8008
Filing Fee: $50
Approved:
Correspondence regarding this filing will be sent to
Payment must be made by check
the registered agent of the Limited Partnership un-
payable to Secretary of State.
less a self-addressed, stamped envelope is included.
Please do not send cash.
The following Limited Partnership has been converted into another organization under Article 11, Section 1102-
1104, of the Uniform Limited Partnership Act (2001).
1. Limited Partnership Name:________________________________________________________________
2. Federal Employer Identification Number (F.E.I.N.): ____________________________________________
3. Name of Surviving Entity of the conversion: __________________________________________________
File Number, if applicable: ________________________________________________________________
Type of Entity:__________________________________________________________________________
State of Jurisdiction: ____________________________________________________________________
Office Address of Survivor: ________________________________________________________________
Street Address
________________________________________________________________________________________
City, State, ZIP
4. Effective Date of Conversion:
❏ filing date
❏ a later date, but not more than 30 days in the future:_________________________________________
Date (month, day, year)
This conversion meets the requirements of the Uniform Limited Partnership Act (2001), effective Jan. 1, 2005,
and approved as required by the governing statutes of the converted organization.
♻ Printed on recycled paper. Printed by authority of the State of Illinois. August 2010 — 200 — C LP 26.2