Statement Of Conversion - Colorado Secretary Of State
ADVERTISEMENT
1
2
3
4Form must be filed electronically.
Paper forms are not accepted.
This copy is a sample and cannot be submitted for filing.
Statement of Conversion
filed pursuant to § 7-90-201.7 (3) of the Colorado Revised Statutes (C.R.S.)
1. For the converting entity, its ID number (if applicable), entity name or true name, form of entity,
jurisdiction under the law of which it is formed, and principal address are
ID number
_________________________
(Colorado Secretary of State ID number)
Entity name or true name
______________________________________________________
Form of entity
______________________________________________________
Jurisdiction
______________________________________________________
Street address
______________________________________________________
(Street number and name)
______________________________________________________
__________________________ ____ ____________________
(City)
(State)
(ZIP/Postal Code)
_______________________ ______________
(Province – if applicable)
(Country)
Mailing address
______________________________________________________
(leave blank if same as street address)
(Street number and name or Post Office Box information)
______________________________________________________
__________________________ ____ ____________________
(City)
(State)
(ZIP/Postal Code)
_______________________ ______________.
(Province – if applicable)
(Country)
2. The entity name of the resulting entity is _____________________________________________________.
(Caution: The use of certain terms or abbreviations are restricted by law. Read instructions for more information.)
3. The converting entity has been converted into the resulting entity pursuant to section 7-90-201.7, C.R.S.
4.
(If applicable, adopt the following statement by marking the box and include an attachment.)
This document contains additional information as provided by law.
5.
(Caution: Leave blank if the document does not have a delayed effective date. Stating a delayed effective date has significant
legal consequences. Read instructions before entering a date.)
(If the following statement applies, adopt the statement by entering a date and, if applicable, time using the required format.)
The delayed effective date and, if applicable, time of this document are ___________________________.
(mm/dd/yyyy hour:minute am/pm)
Notice:
Causing this document to be delivered to the Secretary of State for filing shall constitute the affirmation or
acknowledgment of each individual causing such delivery, under penalties of perjury, that such document is
such individual's act and deed, or that such individual in good faith believes such document is the act and deed
COMB_CONV_LLLP
Page 1 of 2
Rev. 2/26/2008
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal