Form Lp 1104 - Articles Of Conversion
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LP 1104
FILE #
Illinois
Form
Uniform Limited Partnership Act
This space for use by Secretary of State.
August 2012
Secretary of State
Articles of Conversion
Department of Business Services
Limited Liability Division
501 S. Second St., Rm. 357
SUBMIT IN DUPLICATE
Springfield, IL 62756
Please type or print clearly.
217-524-8008
Filing Fee: $50
Payment may be made by check
payable to Secretary of State. If check
Approved:
is returned for any reason this filing
Please do not send cash.
will be void.
The following entity has been converted into another organization in accordance with Article 11, Section 1102-
1105, of the Uniform Limited Partnership Act (2001).
1. Converting Organization Name:____________________________________________________________
2. File Number, if applicable: ________________________________________________________________
3. Name of Entity after conversion: __________________________________________________________
Type of Entity: ________________________________
Jurisdiction: ____________________________
4. Street and mailing address of Survivor: ______________________________________________________
Street Address
____________________________________________________________________________________________________________________
City,
State,
ZIP
5. Effective Date of Conversion:
__________________________________filing date
a later date, but not more than 30 days in the future: ________________________________________
Date (month, day, year)
This conversion meets the requirements of the Uniform Limited Partnership Act (2001), effective Jan. 1, 2005,
and has been approved as required by the governing statutes of the converted organization. *If required, this
statement is accompanied by the organizational document of the converted organization.
♻ Printed on recycled paper. Printed by authority of the State of Illinois. March 2013 — 1 — C LP 26.4
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