Form Be-16 - Articles Of Conversion
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1
2State of North Carolina
Department of the Secretary of State
ARTICLES OF CONVERSION
§§
Pursuant to
55-11A-12, 57C-9A-12, 59-73.22, or 59-1062 of the General Statutes of North Carolina, as applicable, the
undersigned converting business entity does hereby submit these Articles of Conversion for the purpose of converting to a
different business entity.
1.
The name of the converting business entity is_______________________________________________________.
2.
The converting business entity is a (check one)
domestic corporation;
domestic limited liability company;
domestic limited partnership;
domestic registered limited liability partnership; or
domestic partnership.
3.
The name of the resulting business entity is:________________________________________________________.
4.
The resulting business entity is a (check one)
foreign corporation;
foreign limited liability company;
foreign limited partnership;
foreign limited liability partnership; or
other partnership as defined
in G..S. 59-36 not formed under the laws of North Carolina.
5.
The organization and internal affairs of the resulting business entity are governed by the laws of the state or country
of _______________________________________________________________________________________.
6. The resulting business entity is not authorized to transact business or conduct affairs in this State. The mailing
address of the resulting business entity is:__________________________________________________________
________________________________. The resulting business entity will file a statement of any subsequent change
in its mailing address with the North Carolina Secretary of State.
7.
A plan of conversion has been approved by the converting business entity as required by law.
8.
These articles will be effective upon filing, unless a date and/or time is specified: ________________________
This the ______ day of ___________, 20______
_________________________________________
_________________________________________
Signature
_________________________________________
Type or Print Name and Title
NOTES:
1.
Filing fee is $50. This document must be filed with the Secretary of State.
CORPORATIONS DIVISION
P. O. BOX 29622
RALEIGH, NC 27626-0622
(Revised January, 2002)
(Form BE-16)
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