State Form 51574 - Articles Of Entity Conversion: Conversion Of A Corporation Into A Limited Liability Partnership 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:
__________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________
ARTICLE VI: JURISDICTION OF SURVIVING LLP AND CHARTER SURRENDER OF NON-SURVIVING CORPORATION
SECTION 1:
JURISDICTION
Please state the jurisdiction in which Surviving LLP will be organized and governed. ____________________________________________________
SECTION 2:
CHARTER SURRENDER (Please complete this section only if Surviving LLP is organized outside of Indiana).
If the jurisdiction stated above is not Indiana, please set forth the Articles of Charter Surrender for Non-surviving Corporation and attach herewith as
“Exhibit B.”
Pursuant to Indiana Code 23-1-38.5-14, the Articles of Charter Surrender must include:
1.
The name of the non-surviving Corporation;
2.
A statement that the Articles of Charter Surrender are being filed in connection with the conversion of Non-surviving Corporation into
an LLP that will be organized in a jurisdiction other than the State of Indiana;
3.
A signed statement under penalty of perjury that the conversion was duly approved by the shareholders of the Non-surviving
Corporation in a manner required by Indiana Law and consistent with the Articles of Incorporation or the bylaws of Non-surviving
Corporation;
4.
The jurisdiction under which Surviving LLP will be organized; and
5.
The address of Surviving LLP’s executive office.
In Witness Whereof, the undersigned being an officer or other duly authorized representative of Non-surviving Corporation 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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