Form 611a - Certificate Of Conversion To A Non-Rhode Island Entity - State Of Rhode Island
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3STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS
Office of the Secretary of State
Division of Business Services
148 W. River Street
Providence, Rhode Island 02904-2615
(401) 222-3040
INSTRUCTIONS FOR FILING
CERTIFICATE OF CONVERSION TO A NON-RHODE ISLAND ENTITY
Title 7 of the Rhode Island General Laws, 1956, as amended
The attached form is designed to meet minimal statutory filing requirements pursuant to the relevant statutory
provision. This form and the information provided are not substitutes for the advice and services of an attorney
and/or tax specialist.
1. A Certificate of Conversion must be filed with the Office of the Secretary of State, Division of Business Services,
148 W. River Street, Providence, RI 02904-2615, in accordance with the provisions of §§7-1.2-1007, or 7-16-
5.2(e) of the Rhode Island General Laws, 1956, as amended.
2. “Other entity” is defined as a business trust or association, a real estate investment trust, a common-law trust, or
any other unincorporated business or entity including a business corporation (domestic or foreign), limited liability
company (domestic or foreign) or a partnership (domestic or foreign), whether general or limited (including a
registered limited liability partnership). Please see §7-1.2-1008(a) and §7-16-5.2(a) for entity exclusions.
3. The Certificate of Conversion to a non-Rhode Island Entity must be accompanied by a filing fee of $50.00, and
checks should be made payable to "Rhode Island Secretary of State".
4. An original letter of good standing from the Rhode Island Division of Taxation for the purpose of "Conversion"
must accompany the Certificate of Conversion.
5. The Certificate of Conversion must be executed by one or more persons authorized to act on behalf of the “other
entity” or by one or more partners authorized to act on behalf of the general partnership or limited liability
partnership or by one or more persons authorized to sign the Certificate of Conversion on behalf of the limited
liability company or corporation.
If you have any questions, please call us at (401) 222-3040, Monday through Friday between 8:30 a.m. and 4:30 p.m.
Instructions/Form 611A
Revised: 06/12
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