Form Inhs11 - Certificate Of Conversion
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1CERTIFICATE OF CONVERSION
Pursuant to section 608.439, Florida Statutes, the following unincorporated business entity
hereby submits the attached articles of organization and this certificate of conversion to convert
to a Florida limited liability company:
FIRST: The name of the unincorporated business immediately prior to filing this document was:
_____________________________________________________________________________.
SECOND: The date on which and the jurisdiction in which the unincorporated business was first
created or otherwise came into being are:
A.
Date:
__________________________
B.
Jurisdiction:
__________________________
C.
If different from the above noted jurisdiction, the jurisdiction immediately prior to
its conversion: ___________________________.
THIRD: The name of the limited liability company as set forth in the attached articles of
organization is:
_____________________________________________________________________________.
________________________________________________________
Signature of a Member or an Authorized Representative of a Member
(In accordance with section 608.408(3), Florida Statutes, the execution of this document
constitutes an affirmation under the penalties of perjury that the facts stated herein are true.)
_______________________________________________
Typed or Printed Name of Signee
FILING FEES:
$100.00 Filing Fee for Articles of Organization
$ 25.00 Filing Fee for Registered Agent Designation
$ 25.00 Filing Fee for Certificate of Conversion
$ 30.00 Certified Copy (optional)
$ 5.00 Certificate of Status (optional)
(Note: Section 608.439, F.S., does not provide for a corporation to convert to a limited liability company.)
INHS11(10/99)
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Parent category: Legal