State Form 51580 - Articles Of Entity Conversion Conversion Of A Corporation Into A Limited Partnership - 2016 Page 4

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ARTICLE VIII: NON-SURVIVING BUSINESS ENTITIES
SECTION 1:
JURISDICTION
Please state the jurisdiction in which Surviving LP will be organized and governed.
SECTION 2:
CHARTER SURRENDER
If the jurisdiction stated above is not Indiana, please set forth the Articles of Charter Surrender for Non-surviving Corporation and attach herewith as “Exhibit C.”
Pursuant to Indiana Code 23-1-38.5-14, the Articles of Charter Surrender must include:
1.
The name of the non-surviving Corporation;
2.
A statement that the Articles of Charter Surrender are being filed in connection with the conversion of Non-surviving Corporation into an LP that will
be organized in a jurisdiction other than the State of Indiana;
3.
A signed statement under penalty of perjury that the conversion was duly approved by the shareholders of the Non-surviving Corporation in a
manner required by Indiana Law and consistent with the Articles of Incorporation or the bylaws of Non-surviving Corporation;
4.
The jurisdiction under which Surviving LP will be organized; and
5.
The address of Surviving LP’s executive office.
Required:
By checking the box, the signator(s) represent(s) that the registered agent named in the application has consented to
the appointment of the registered agent.
In Witness Whereof, the undersigned being an officer or other duly authorized representative of Non-surviving Corporation executes these Articles of
Entity Conversion and verifies, subject to penalties of perjury, that the statements contained herein are true this
___________ day of ________________________, 20____.
Signature
Printed name
Title
Page 3 of 3

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