State of North Carolina
Department of the Secretary of State
ARTICLES OF ORGANIZATION
INCLUDING ARTICLES OF CONVERSION
Pursuant to §§ 57C-2-21, 57C-9A-01 and 57C-9A-03 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.
1.
The name of the limited liability company is: ______________________________________________.
The limited liability company is being formed pursuant to a conversion of another business entity.
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; or
other partnership as defined in G.S. 59-36, whether or not
formed under the laws of North Carolina.
4.
If the limited liability company is to dissolve by a specific date, the latest date on which the limited
liability company is to dissolve: (If no date for dissolution is specified, there shall be no limit on the
duration of the limited liability company.)__________________________________________________
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).
6.
The street address and county of the initial registered office of the limited liability company is:
Number and Street ____________________________________________________________________
City, State, Zip Code _________________________________________County ___________________
7.
The mailing address, if different from the street address, of the initial registered office is:
____________________________________________________________________________________
____________________________________________________________________________________
8.
The name of the initial registered agent is: _________________________________________________
CORPORATIONS DIVISION
P.O. BOX 29622
RALEIGH, NC 27626-0622
(Revised January 2002)
(Form L-01A)