Form 800 - Certificate Of Conversion 2008

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Form 800 Prescribed by the:
Expedite this form: (select one)
Ohio Secretary of State
Mail form to one of the following:
Expedite
Central Ohio: (614) 466-3910
PO Box 1390
Toll Free: (877) SOS-FILE (767-3453)
Columbus, OH 43216
*** Requires an additional fee of $100 ***
Non Expedite
PO Box 1329
Busserv@sos.state.oh.us
Columbus, OH 43216
CERTIFICATE OF CONVERSION
FOR ENTITIES CONVERTING INTO THE RECORDS OF THE OHIO SECRETARY OF STATE
Filing Fee $125
Name of the converting entity:
Jurisdiction of Formation:
The converting entity:
(Check Only (1) One Box)
Partnership
Foreign Nonprofit Limited Liability Company
Foreign Limited Partnership
Foreign For-Profit Limited Liability Company
C
Common Law Trust
L
T
t
F
Foreign Limited Liability Partnership
i
Li it d Li bilit P t
hi
Foreign Corporation
Other
The converting entity hereby states it has complied with all laws of its jurisdiction of formation.
Furthermore, the law permits for the conversion.
Name of the converted entity:
Existing under the laws of
Ohio
State
The converted business entity type is
(Check One)
Business Trust
Partnership
Domestic Corporation
Domestic Limited Partnership
Domestic Nonprofit Limited Liability Company
Domestic Limited Liability Partnership
Domestic For-Profit Limited Liability Company
Form 800
Page 1 of 3
Last Revised: 12/01/2008

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