State Form 51582 - Articles Of Entity Conversion - 2004 Page 2

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ARTICLE IV: REGISTERED OFFICE AND AGENT OF SURVIVING LLP
Registered Agent: The name and street address of Surviving LLP’s Registered Agent and Registered Office for service of process are the following:
Name of Registered Agent
Address of Registered Office (number and street or building)
City
ZIP Code
Indiana
ARTICLE V: STATEMENT OF PURPOSE OF SURVIVING LLP
Please give a brief statement describing the business in which Surviving LLP will be engaged:
__________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________
In Witness Whereof, the undersigned being an officer or other duly authorized representative of above-stated Surviving LLP executes these
Articles of Entity Conversion and verifies, subject to penalties of perjury, that the statements contained herein are true,
this ________________________ day of ______________________________, 20__________.
Signature
Printed Name
Title

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