Form 08-431 - Application For Certificate Of Conversion
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1Date: _____________________
Amt: _____________________
Ck.#: _____________________
Name: _____________________
___________________________
STATE OF ALASKA
APPLICATION FOR CERTIFICATE OF CONVERSION
Pursuant to the provisions of Section 10.50.570 of the Alaska Revised Limited Liability Act, the undersigned hereby applies for a
Certificate of Conversion to transact business as a Limited Liability Company in the State of Alaska.
1.
The name of the business as currently existing prior to conversion to a limited liability company:
2.
The name of the business after conversion to a limited liability company:
3. The state or country where the business was originally formed:
4.
The date on which the business was originally formed:
5.
If the conversion is not to be effective upon filing with the State of Alaska, the future date that the conversion is to be
effective:
Date
,
Signed:
Signature of Authorized Person Executing Document
Title:
INSTRUCTIONS
1. Enter the business name as it currently exists prior to conversion.
2.
Enter the name that the business will adopt after conversion to a limited liability company. A limited liability company name
must contain the words “limited liability company” or an abbreviation of these words.
3.
Enter the name of the state or country where the business was originally formed.
4.
Enter the original start date of the business, or the date that the business was formally formed in the jurisdiction stated in
area #3.
5.
Enter the future effective date of the conversion, if applicable.
Λ
MAIL THE ORIGINAL AND AN EXACT COPY OF THE APPLICATION
ALONG WITH ARTICLES OF ORGANIZATION TO:
Department of Community and Economic Development
Corporations Section
P.O. Box 110808
Juneau, Alaska 99811-0808
(907) 465-2530
08-431 (10/00)
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Parent category: Business