Articles Of Conversion (Chapter 322C)

OfficeoftheMinnesotaSecretaryofStateArticlesofConversionMinnesotaStatutes,Chapter322C Readtheinstructionbeforecompletingthisform. FilingFee:$80forexpeditedserviceinperson,$60ifsubmittedbymail Thefollowingtypeoforganizationisbeingconvertedintoanotherorganizationandwasapprovedasrequiredby,Chapter322C. 1.Checktheappropriateboxforthisconversionfiling: 2. NameofOrganizationbeforetheConversionis:(Required) 3.HomeJurisdictionofOrganizationbeforetheConversionis: 4. NameoftheOrganizationaftertheConversionshallbe:(Required) 5. HomeJurisdictionofOrganizationaftertheConversionshallbe: 6. ThetimetheConversioniseffectiveunderthegoverningstatuteoftheConvertedOrganizationis: American LegalNet, Inc. www.FormsWorkFlow.com OfficeoftheMinnesotaSecretaryofStateArticlesofConversionMinnesotaStatutes,Chapter322C 7.AConvertedOrganizationthatisaforeignorganizationandnotauthorizedtotransactbusinessinthisstateappointsthesecretaryofstateasitsagentforserviceofprocessforpurposesofenforcingadebt,obligation,orotherliabilityunderthissubdivision.Thestreetaddressofanofficethatthesecretaryofstatemayuseforthepurposesofsection322C.1010,subdivision3is: 8. 9.I,theundersigned,certifythatIamsigningthisdocumentasthepersonwhosesignatureisrequired,orasagentoftheperson(s)whosesignaturewouldberequiredwhohasauthorizedmetosignthisdocumentonhis/herbehalf,orinbothcapacities.IfurthercertifythatIhavecompletedallrequiredfields,andthattheinformationinthisdocumentistrueandcorrectandincompliancewiththeapplicablechapterofMinnesotaStatutes.IunderstandthatbysigningthisdocumentIamsubjecttothepenaltiesofperjuryassetforthinSection609.48asifIhadsignedthisdocumentunderoath. AuthorizedSignatureofIndividualonBehalfoftheConvertingCompanyorAuthorizedAgent(Required) EmailAddressforOfficialNoticesEnteranemailaddresstowhichtheSecretaryofStatecanforwardofficialnoticesrequiredbylawandothernotices: Ch eckheretohaveyouremailaddressexcludedfromrequestsforbulkdata,totheextentallowed byMinnesotalaw. Listthenameanddaytimephonenumberofapersonwhocanbecontactedaboutthisform: ContactNameandPhoneNumber Entitiesthatown,leaseorhaveanyfinancialinterestinagriculturallandorlandcapableofbeingfarmedmustregisteredwiththeMinnesotaDepartmentofAgriculture222sCorporateFarmProgram. American LegalNet, Inc. www.FormsWorkFlow.com INSTRUCTIONS Thisformisintendedmerelyasaguideforfilingandisnotintendedtocoverallsituations.RetaintheoriginalsignedcopyofthisdocumentforyourrecordsandsubmitalegiblephotocopyforfilingwiththeOfficeoftheSecretaryofState. Note:Adomesticlimitedliabilitycompanythatisnotanonprofitlimitedliabilitycompanymayconverttoadomesticcorporation. 1.Checktheappropriateboxforthisconversionfiling. 2.Listthenameoftheorganizationthatisconverting,asitisimmediatelybeforetheconversion.(Required) 3.ListtheHomeJurisdictionofOrganizationbeforetheConversion. 4.Listthenamethatwillbefiledfortheorganizationimmediatelyaftertheconversion.(Required) 5.ListtheHomeJurisdictionofOrganizationaftertheConversion. 6.ListthetimetheConversioniseffectiveunderthegoverningstatuteoftheConvertedOrganization. 7.Iftheconvertedorganizationwillbeaforeignorganizationandisnotauthorizedtotransactbusinessinthisstate,listthestreetaddressofanofficethatthesecretaryofstatemyuseforthepurposesofsection322C.1010,subdivision3. 8. ncludeacopyoftheArticlesofIncorporation 9. MustbesignedonbehalfoftheconvertingcompanyorAuthorizedAgent(Thesigningpartymustindicateon thedocumentthattheyareactingastheagentoftheperson(s)whosesignaturewouldberequiredandthattheyhavebeenauthorizedtosignonbehalfofthatperson(s).)(Required) EmailAddressforOfficialNotices.Thisemailaddressmaybeusedtosendannualrenewalremindersandotherimportantnoticesthatmayrequireactionorresponse.Checktheboxifyouwishtohaveyouremailaddressexcludedfromrequestsforbulkdata,totheextentallowedbyMinnesotalaw. Listanameanddaytimetelephonenumberofapersonwhocanbecontactedaboutthisform. FilingFee:$80forexpeditedserviceinperson,$60ifsubmittedbymail PayabletotheMNSecretaryofState FILEINPERSONORMAILTO: MinnesotaSecretaryofState226BusinessServicesRetirementSystemsofMinnesotaBuilding60EmpireDrive,Suite100StPaul,MN55103(Staffed8a.m.2264p.m.,Monday226Friday,excludingholidays)PhoneLines:(9a.m.2264p.m.,MF)MetroArea6512962803;GreaterMN18776767 Alloftheinformationonthisformispublic.Minnesotalawrequirescertaininformationtobeprovidedforthistypeoffiling.Ifthatinformationisnotincluded,yourdocumentmaybereturnedunfiled.Thisdocumentcanbemadeavailableinalternativeformats,suchaslargeprint,Brailleoraudiotape,bycalling(651)2962803/voice.ForaTTY/TTD(deafandhardofhearing)communication,contacttheMinnesotaRelayServiceat18006273529andaskthemtoplaceacallto(651)2962803.TheSecretaryofState'sOfficedoesnotdiscriminateonthebasisofrace,creed,color,sex,sexualorientation,nationalorigin,age,maritalstatus,disability,religion,relianceonpublicassistanceorpoliticalopinionsoraffiliationsinemploymentortheprovisionofservice. American LegalNet, Inc. www.FormsWorkFlow.com