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Articles Of Conversion

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Clear Form

State of Utah

Department of Commerce

Division of Corporations & Commercial Code

Articles of Conversion

1. The articles of conversion shall state:

Entity Number: _____________________________________

First: The name and entity type of the company immediately prior to the filing of the articles of

conversion:

Name: _______________________________________________________________________________

Entity Type (Corp, LLC, LP, Partnership, DBA, etc.): ________________________________

Second: The date and state where the company was first created and, if it has changed, its jurisdiction

immediately prior to its conversion;

_______________________________

Date of formation

State / Jurisdiction

Third: The name and entity type of the company as set forth in its converted entity filing;

Name: _______________________________________________________________________________

Entity Type: ________________________________

Fourth: The future effective date of the conversion to the new entity if it is not to be effective upon the

filing of the articles of conversion;

______________________________________________________________________________________

Fifth: Under penalties of perjury, I declare that the articles of conversion have been duly approved by the

owners of the entity.

Dated: ______________________________

By:_________________________________

Authorized Party must sign here after the form is printed

Title: ___________________________

2. Additional filing requirements: The non-refundable processing fee of $37.00 payable to the State of Utah,

and application for new entity must accompany this form. No additional fee for the new application.

Under GRAMA {63-2-201}, all registration information maintained by the Division is classified as public record. For confidentiality purposes, you may

use the business entity physical address rather than the residential or private address of any individual affiliated with the entity.

Mailing/Faxing Information:

/contactus.html

Division's Website:

01/14

Articles Of Conversion

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