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Articles Of Entity Conversion Of A Domestic Business Corporation - Massachusetts

Articles Of Entity Conversion Of A Domestic Business Corporation Form. This is a Massachusetts form and can be used in Domestic Profit And Professional Corporations Corporations Division Secretary Of State .
 Fillable pdf Last Modified 5/23/2007
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D The Commonwealth of Massachusetts William Francis Galvin Secretary of the Commonwealth PC One Ashburton Place, Boston, Massachusetts 02108-1512 FORM MUST BE TYPED Articles of Entity Conversion of a FORM MUST BE TYPED Domestic Business Corporation to a Domestic Other Entity (General Laws Chapter 156D, Section 9.53; 950 CMR 113.29) (1) Exact name of corporation prior to conversion: ____________________________________________________________ (2) Registered o ce addre s_s:___________________________________________________________________________________ (number, street, city or town, state, zip code) (3) New name after conversion, which shall satisfy the organic law of the surviving entity: ________________________________________________________________________________________________ (4) New type of entity: __________________________________________________________________________________ (5) e plan of entity conversion was duly approved by the shareholders, and where required, by each separate voting group in the manner required by G.L. Chapter 156D and the articles of organization. (6) Attach any additional sheets containing all information required to be set forth in the public organic document of the surviv- ing entity. (7) e conversion of the corporation shall be e ) ective at the time and on the date approved by the Division, unless a later e ) ec- tive date not more than the 90 days from the date and time of ? ling is speci? ___________________________________ ed: Signed by: ___________________________________________________________________________________________, (signature of authorized individual) (Please check appropriate box) Chairman of the board of directors, President, Other o cer, Court-appointed ? duciary, on this _________________________day ofday ofday of__________________________________________________________________________________, _____________________P.C. American LegalNet, Inc.c156ds953950c11329 01/13/05 www.USCourtForms.com <<<<<<<<<********>>>>>>>>>>>>> 2 COMMONWEALTH OF MASSACHUSETTS William Francis Galvin Secretary of the Commonwealth One Ashburton Place, Boston, Massachusetts 02108-1512 Articles of Entity Conversion of a Domestic Business Corporation to a Domestic Other Entity (General Laws Chapter 156D, Section 9.53; 950 CMR 113.29) I hereby certify that upon examination of these articles of conversion, duly submitted to me, it appears that the provisions of the General Laws relative thereto have been complied with, and I hereby approve said articles; and the ? ling fee in the amount of $______ having been paid, said articles are deemed to have been ? led with me this _____________day ofday ofday of __________________________, 20______ , at _______a.m./p.m. time E ) ective date: _________________________________________________ (must be within 90 days of date submitted) WILLIAM FRANCIS GALVIN Secretary of the Commonwealth Examiner Filing fee: Minimum $250 Name approval TO BE FILLED IN BY CORPORATION Contact Information: C ___________________________________________________________ M ___________________________________________________________ ___________________________________________________________ Telephone: ___________________________________________________ Email: ______________________________________________________ Upon ? ling, a copy of this ? ling will be available at www.sec.state.ma.us/cor. If the document is rejected, a copy of the rejection sheet and rejected document will be available in the rejected queue. American LegalNet, Inc. www.USCourtForms.com
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