Form 51573 - Articles Of Entity Conversion - Indiana Secretary Of State - 2012

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CONNIE LAWSON
ARTICLES OF ENTITY CONVERSION:
SECRETARY OF STATE
CORPORATE DIVISION
Conversion of an Indiana Non-Corporation Business Entity into an
302 W. Washington Street, Rm. E018
Indiana Limited Partnership
Indianapolis, IN 46204
State Form 51573 (R2 / 4-12)
Telephone: (317) 232-6576
Approved by State Board of Accounts, 2004
INSTRUCTIONS:
1. Use 8 ½” x 11” white paper for attachments.
2. Present original and one (1) copy to the address in upper right corner of this form.
Indiana Code 23-1-18-3
3. Please TYPE or PRINT.
FILING FEE: $30.00
4. Please visit our office on the web at
ARTICLES OF CONVERSION
OF
____________________________________________________________________________
(hereinafter “Non-surviving Business Entity”)
INTO
____________________________________________________________________________
(hereinafter “Surviving LP”)
ARTICLE I: PLAN OF ENTITY CONVERSION
a.
Please set forth the Plan of Conversion, containing such information as required by Indiana Code 23-1-38.5-11, attach herewith, and designate it as
“Exhibit A.”
The plan must specify the following:
A statement indicating that the type of business entity the surviving entity will be is an LP;
The terms and conditions of the conversion;
The manner and basis of converting the interests, securities, obligations, rights to acquire interests or other securities of Non-surviving
Business Entity following its conversion into the shares of Surviving LP; and
The full text, as in effect immediately after the consummation of the conversion, of the organic documents, if any, of Surviving LP.
b.
Please read and sign the following statement.
I hereby affirm under penalty of perjury that the plan of conversion is in accordance with the organic document of Non-surviving Business Entity and
is duly authorized as required by the laws of the State of Indiana.
Signature ________________________________ Printed Name ________________________________ Title ______________________________
ARTICLE II: NAME AND TYPE OF NON-SURVIVING BUSINESS ENTITY
a.
The name of Non-surviving Business Entity immediately before filing these Articles of Entity Conversion is the following:
______________________________________________________________________________________________________________________
b.
Please state the type of business entity of Non-surviving Business Entity below.
______________________________________________________________________________________________________________________
ARTICLE III: NAME AND PRINCIPLE OFFICE OF SURVIVING LP
a.
The name of Surviving LP is the following:
__________________________________________________________________________________________________________________________
(Please note pursuant to Indiana Code 23-16-2-1, this name must include the words “Limited Partnership”, “L.P.”, or “LP”).
b.
The address of Surviving LP’s Principal Office is the following:
Street Address (number and street)
City
State
ZIP code

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