State of North Carolina
Department of the Secretary of State
ARTICLES OF INCORPORATION
INCLUDING ARTICLES OF CONVERSION
(PROFESSIONAL CORPORATION)
Pursuant to Chapter 55B, §§ 55-2-02 and 55-11A-03 of the General Statutes of North Carolina, the undersigned
does hereby submit these Articles of Incorporation Including Articles of Conversion for the purpose of forming
a professional corporation:
1.
The name of the resulting corporation is:__________________________________________________.
The corporation is being formed pursuant to a conversion of another business entity.
2.
The name of the converting business entity is ____________________________________________
and the organization and internal affairs of the converting business entity are governed by the laws of
the state or country of _______________________________. A plan of conversion has been approved
by the converting business entity as required by law.
3.
The converting business entity is a (check one):
foreign corporation;
domestic limited liability
company;
foreign limited liability company;
domestic limited partnership;
foreign limited
partnership;
domestic registered limited liability partnership;
foreign limited liability partnership;
or
other partnership as defined in G.S. 59-36, whether or not formed under the laws of North
Carolina.
4.
The number of shares the corporation is authorized to issue is:__________________________________
These shares shall be: (check either a or b)
a.____all of one class, designated as common stock; or
b.____divided into classes or series within a class as provided in the attached schedule, with the
information required by N.C.G.S. § 55-6-01.
5.
The street address and county of the initial registered office of the corporation is:
Number and Street____________________________________________________________________
City, State, Zip Code_____________________________________County________________________
6.
The mailing address if different from the street address of the initial registered office is:
____________________________________________________________________________________
7.
The name of the initial registered agent is:__________________________________________________
8.
Principal office information: (Select either a or b.)
a.
The corporation has a principal office.
Revised January 2002
Form PC-05A
CORPORATIONS DIVISION
P. O. BOX 29622
RALEIGH, NC 27626-0622