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Certificate Of Conversion To A Kansas Entity CVD - Kansas
| Certificate Of Conversion To A Kansas Entity Form. This is a Kansas form and can be used in Miscellaneous Secretary Of State . |
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CVD 53-44 CONTACT: Certificate of Conversion to a Kansas Entity KANSAS SECRETARY OF STATE Foreign or Kansas Entity Converting into a Kansas Entity Kansas Office of the Secretary of State (785) 296-4564 kssos@sos.ks.gov www.sos.ks.gov Memorial Hall, 1st Floor 120 S.W. 10th Avenue Topeka, KS 66612-1594 Above space is for office use only. i All information must be completed or this document will not be accepted for filing. Please read instructions before completing. INSTRUCTIONS: Converting Entity 1. Business entity ID number: 2. Entity name: 3. Type of entity: 4. State or country of organization: This is not the Federal Employer ID Number (FEIN) _______________________________________ _____________________________________________________________________________________ ___ For-Profit Corporation ___ Not-for-Profit Corporation ___ General Partnership ___ Limited Liability Company ___ Limited Liability Partnership ___ Limited Partnership New Entity 5. Entity name: 6. Type of entity: 7. Effective date: _______________________________________ _____________________________________________________________________________________ ___ For-Profit Corporation ___ Not-for-Profit Corporation Upon filing Future effective date (cannot exceed 90 days from the file date) ___ General Partnership ___ Limited Liability Company ___ Limited Liability Partnership ___ Limited Partnership __________________________ Month Day Year The formation document and fee for the converted entity are attached. This conversion is approved in accordance with K.S.A. 17-78-401 through 17-78-406 or by the laws of the appropriate foreign jurisdiction. I declare under penalty of perjury under the laws of the state of Kansas that the foregoing is true and correct and that I have remitted the required fee. ____________________________________________________________ Signature of authorized person of the converting entity _______________________ Date ____________________________________________________________ Name of signer, printed or typed ______________________________________ Title i Instructions: 1. Submit this form with the $75 filing fee. Make checks payable to the Kansas Secretary of State. 2. Include formation document for the new entity with the filing fee. NOTICE: Rev. 12/27/10 jdr There is a $25 service fee for all checks returned by your financial institution. Page 1 of 1 K.S.A. 17-78-401 - K.S.A. 17-78-406 American LegalNet, Inc. www.FormsWorkFlow.com
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