Form X-10 - Articles Of Conversion
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1
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3FORM X-10
4/2012
Nonrefundable Filing Fee: $100.00
STATE OF HAWAII
*Nonprofit: $50.00
*X10*
DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS
Business Registration Division
Clear Form
335 Merchant Street
Mailing Address: P.O. Box 40, Honolulu, Hawaii 96810
Phone No. (808) 586-2727
ARTICLES OF CONVERSION
(Section 414-272, 415A-16.6, 425-193, 425E-1103, 428-902.6, Hawaii Revised Statutes)
PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK
The undersigned, submitting these Articles of Conversion, certify as follows:
1.
The converting (original) entity was (check one):
Profit Corp.
Professional Corp.
General Partnership
Limited Partnership
LLLP
LLP (If LLP must also check General Partnership)
LLC
2.
The name and state/country of incorporation/formation/organization or qualification of the converting entity was:
(Type/Print Entity Name)
(State or Country)
3.
The converted (new) entity is (check one):
Profit Corp.
Professional Corp.
Nonprofit Corp.
General Partnership
Limited Partnership
LLC
LLP (If LLP must also check General Partnership)
LLLP
4.
The name and state/country of incorporation/formation/organization or qualification of the converted entity is:
______________________________________________________________________________
_________________________
(Type/Print Entity Name)
(State
or Country)
5.
The Plan of Conversion has been approved in accordance to Section 414-271, 415A-16.5, 414D-202, 425-192, 425E-1102,
428-902.5, as applicable.
6.
An executed Plan of Conversion is on file at the principal place of business of the converting entity whose address is:
______________________________________________________________________________________________________________
7.
A copy of the Plan of Conversion shall be furnished by the converting entity prior to the conversion or by the converted
entity after the conversion on written request and without cost, to any shareholder, partner, member, or owner of the
converting entity or the converted entity.
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