Form Conv - Certificate Of Conversion
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2Filing Fee $125.00
STATE OF MAINE
CERTIFICATE OF CONVERSION
Deputy Secretary of State
Pursuant to 13-A MRSA §912 or, if applicable, 31 MRSA
§418 and 31 MRSA §746, the required number of shareholders
and/or owners of the undersigned business entity approved a
A True Copy When Attested By Signature
plan of conversion and the undersigned business entity adopts
the following Certificate of Conversion:
Deputy Secretary of State
FIRST:
The date on which the business entity first came into being is _______________________ and its jurisdiction
immediately prior to its conversion is ________________________________________________.
SECOND:
The name of the converting business entity is ___________________________________________________________
THIRD:
The name of the resulting business entity is _____________________________________________________________
FOURTH:
The plan of conversion is on file at the principal place of business of the resulting business entity. A copy of the plan
of conversion will be furnished by the resulting business entity, on request and without cost, to any interest holder of
the business entity. The address of such place of business is as follows:
_________________________________________________________________________________________________
_________________________________________________________________________________________________
FIFTH:
(1)
If the converting business entity is a corporation, complete the following:
Name of
Designation and Number
Number of Shares
NUMBER
NUMBER
Corporation
of Shares Outstanding
Entitled to Vote
Voted For
Voted Against
(2)
If the shares of any class were entitled to vote as a class, complete the following:
Name of
Designation
Number of Shares
NUMBER
NUMBER
Corporation
of Class
Outstanding
Voted For
Voted Against
The number of votes cast for the plan in (1) or (2) above, were sufficient for approval of the plan by the
shareholders or by that class of shareholders.
SIXTH:
Effective date of the conversion (if other than date of filing of the Certificate) is _______________________________
(Not to exceed 60 days from date of filing of the Certificate)
SEVENTH:
All of the statements required to be set forth in the organizing documents for the resulting business entity are attached
as Exhibit ___. The appropriate form (CONV-BUS Articles of Incorporation), (CONV-LP Certificate of Limited
Partnership) or (CONV-LLC Articles of Organization of Limited Liability Company) must be attached.
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Parent category: Legal