Filing Fee: Partnership $15.00, Limited Liability Company $25.00, Corporation $50.00 DN-01 Rev. 10/2008
Art_Conv Rev 11/18
ARTICLES OF CONVERSION
ACT 408 OF 2009 and Arkansas Code Annotated § 4-32-1202
(PLEASE TYPE OR PRINT CLEARLY IN INK)
The undersigned hereby state:
Name of the entity converting from
Type of entity converting from Jurisdiction
Is converting to:
Name of entity
Type of entity converting to Jurisdiction
The conversion has been approved as required by Arkansas law; and
That the conversion has been approved as required by the governing statute of the converted
organization; and
That the converted organization has filed a statement appointing an agent for service of process
under § 4-20-112 if the converted organization is a nonfiling or nonqualified foreign entity; and
That a copy of the plan of conversion is attached or a copy of the plan of conversion is on file at the
office located at: _________________________________________________________________
______________________________________________________________________________;
And that the effective date of conversion is ___________________________.
I understand that knowingly signing a false document with the intent to file with the Arkansas Secretary
of State is a Class C misdemeanor and is punishable by a fine up to $100.00 and/or imprisonment up to
30 days.
Executed this _____________________ day of ___________________________,___________________.
Day Month Year
__________________________________________________ ________________________________________________
Signature of Authorizing Officer Authorizing Officer and Title of Officer (Type or Print)
These Articles of Conversion must be filed in conjunction with an initial filing appropriate
for the specific converted entity type
Arkansas Secretary of State
1401 W. Capitol Ave., Suite 250, Little Rock, AR 72201
501-682-3409 • www.sos.arkansas.gov
John Thurston
