Form L-01a - Articles Of Organization Including Articles Of Conversion
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3State of North Carolina
Department of the Secretary of State
ARTICLES OF ORGANIZATION
INCLUDING ARTICLES OF CONVERSION
Pursuant to §§ 57D-2-21, 57D-9-20 and 57D-9-22 of the General Statutes of North Carolina, the undersigned
converting business entity does hereby submit these Articles of Organization Including Articles of Conversion
for the purpose of forming a limited liability company pursuant to the conversion of another eligible entity.
1.
The name of the limited liability company is: ___________________________________________.
The limited liability company is being formed pursuant to a conversion of another business entity.
(See Item 1 of the Instructions for appropriate entity designation)
2.
The name of the converting business entity is: ___________________________________________
and the organization and internal affairs of the converting business entity are governed by the laws of the
state or country of_________________________________________________________________.
A plan of conversion has been approved by the converting business entity as required by law.
3.
The converting business entity is a (check one):
domestic corporation;
foreign corporation;
foreign limited liability company;
domestic limited partnership;
foreign limited partnership;
domestic registered limited liability partnership;
foreign limited liability partnership;
professional corporation; or
other partnership as defined in
G.S. 59-36, whether or not formed under the laws of North Carolina.
4.
The mailing address of the converting entity prior to the conversion is:
Number and Street: __________________________________________________________________
City: ___________________ State:
Zip Code:
County:
If different, the mailing address of the resulting business entity is:
Number and Street:
City: ___________________ State:
Zip Code:
County: __________________
5.
The name and address of each person executing these articles of organization is as follows: (State
whether each person is executing these articles of organization in the capacity of a member,
organizer or both. Note: This document must be signed by all persons listed.)
___________________________________________________________________________________
CORPORATIONS DIVISION
P.O. BOX 29622
RALEIGH, NC 27626-0622
(Revised January 2014)
Page 1
(Form L-01A)
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