Filing Fee $145.00
STATE OF MAINE
ARTICLES/CERTIFICATE
OF CONVERSION
_____________________
Deputy Secretary of State
Pursuant to
31 MRSA §418
and/or
31 MRSA
§746, the
required number of owners of the undersigned business entity
A True Copy When Attested By Signature
approved a plan of conversion and the undersigned business
entity adopts the following Articles/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:
The future effective date of the conversion (if other than date of filing of the Articles/Certificate) is (insert date)
________________________________
(Not to exceed 60 days from date of filing of the Articles/Certificate)
SIXTH:
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
(MLPA-6-1
Certificate of Limited Partnership) or
(MLLC-6-1
Articles of
Organization of Limited Liability Company) must be attached.
Must Be Completed By The Converting Business Entity
_______________________________________________________________________
_____________________________
(name and type of participating business entity)
(dated)
___________________________________________________
____________________________________________
(authorized signature)
(type or print name and capacity)
___________________________________________________
____________________________________________
(authorized signature)
(type or print name and capacity)
FORM NO. CONV (1 of 2)