APPLICATION FOR ARTICLES OF ORGANIZATION
For Conversion From Partnership
or Limited Partnership
to Limited Liability Company
(Act 479 of 1997 and A.C.A § 4-32-1202)
The undersigned hereby states that the partnership/limited partnership state below was converted to a limited lia-
bility company, as approved by all of the partners or by a number or percentage of the partners specified for con-
version in the partnership agreement. If the entity was a limited partnership, the certificate of limited partnership is
canceled as of the effective date of the conversion.
1. Former Name of Partnership or Limited Partnership:
2. Number of votes cast by partners: For Against
If less than unanimous, the number or percentage required for approval:
3. Effective Date (if later than date filed with the Secretary of State):
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.
Signature of authorized manager, member or person forming this Company:
Authorizing Officer (Type or Print)
Authorized Signature Date
A F F I D AV I T
,
State of
County of
Subscribed and sworn to before me, a Notary Public, within and for the county of
and the State of Arkansas this
day of
,
.
My commission expires:
Signature of Notary Public (Please apply seal below
Please note that this form may be filed only in conjunction with the Articles of Organization
form for Limited Liability Companies.
Filing Fee: $15.00 payable to Arkansas Secretary of State
Rev. 11/18
Arkansas Secretary of State
1401 W. Capitol, Suite 250,
501-682-3409 • www.sos.arkansas.gov
Little Rock, AR 72201
John Thurston
