Fill - FLORIDA DEPARTMENT OF STATE DIVISION OF CORPORATIONS Attached (Florida Division of Corporations)

FLORIDA DEPARTMENT OF STATE

DIVISION OF CORPORATIONS

Attached is a form to convert an “eligible business entity” into a “Florida Profit Corporation” pursuant to section

607.11933, Florida Statutes. These forms are basic and may not meet all conversion needs. The advice of an attorney is

recommended.

Filing Fees: $105 ($35 Conversion Fee and $70 for Florida

Profit Articles of Incorporation)

Certified Copy (optional): $8.75

Certificate of Status (optional): $8.75

Send one check in the total amount payable to the Florida Department of State.

Please include a cover letter containing your telephone number, return address and certification requirements, or complete

the attached cover letter.

Mailing Address: Street Address:

New Filing Section New Filing Section

Division of Corporations Division of Corporations

P.O. Box 6327 The Centre of Tallahassee

Tallahassee, FL 32314 2415 N. Monroe Street, Suite 810

Tallahassee, FL 32303

For further information, you may contact the New Filings Section at (850) 245-6052.

IMPORTANT INFORMATION: Pursuant to section 607.1622 (9), F.S., “As a condition of a conversion of an entity to a

corporation under s. 607.11930, the entity, if it exists under the laws of this state or if it exists under the laws of another

jurisdiction and has a certificate of authority to transact business or conduct its affairs in this state, must be active and

current in filing its annual reports in the records of the department through December 31 of the calendar year in which the

articles of conversion are submitted to the department for filing.”

CR2E105 (1/20)

COVER LETTER

TO: New Filing Section

Division of Corporations

SUBJECT:

Name of Resulting Florida Profit Corporation

The enclosed Articles of Conversion, Articles of Incorporation, and fees are submitted to convert the following eligible

entity into a “Florida Profit Corporation” in accordance with ss. 607.11933 & 607.0202, F.S.

Please return all correspondence concerning this matter to:

Contact Person

Firm/Company

Address

City, State and Zip Code

E-mail address: (to be used for future annual report notification)

For further information concerning this matter, please call:

at (

)

Name of Contact Person Area Code and Daytime Telephone Number

Enclosed is a check for the following amount:

☐ $105.00 Filing Fees ☐$113.75 Filing Fees ☐$113.75 Filing Fees ☐$122.50 Filing Fees,

and Certificate of and Certified Copy Certified Copy, and

Status Certificate of Status

Mailing Address: Street Address:

New Filing Section New Filing Section

Division of Corporations Division of Corporations

P.O. Box 6327 The Centre of Tallahassee

Tallahassee, FL 32314 2415 N. Monroe Street, Suite 810

Tallahassee, FL 32303

Articles of Conversion

For

Converting Eligible Entity

Into

Florida Profit Corporation

The Articles of Conversion and attached Articles of Incorporation are submitted to convert the following eligible

business entity into a Florida Profit Corporation in accordance with ss. 607.11933 & 607.0202, Florida Statutes.

1. The name of the Converting Entity immediately prior to the filing of the Articles of Conversion is:

.

Enter Name of the Converting Entity

2. The converting entity is a

(Enter entity type. Example: limited liability company, limited partnership,

general partnership, common law or business trust, etc.)

first organized, formed or incorporated under the laws of

(Enter state, or if a non-U.S. entity, the name of the country)

on .

Enter date “Converting Entity” was first organized, formed or incorporated.

3. The name of the Florida Profit Corporation as set forth in the attached Articles of Incorporation:

.

Enter Name of Florida Profit Corporation

4. This conversion was approved by the eligible converting entity in accordance with this chapter and the laws of its

current/organic jurisdiction.

5. If not effective on the date of filing, enter the effective date: .

(The effective date: Cannot be prior to nor more than 90 days after the date this document is filed by the Florida

Department of State.)

Note: If the date inserted in this block does not meet the applicable statutory filing requirements, this date will not be

listed as the document’s effective date on the Department of State’s records.

Signed this day of , 20 .

Required Signature for Florida Profit Corporation:

Signature of Director, Officer, or, if Directors or Officers have not been selected, an Incorporator:

Printed Name: Title:

Required Signature(s) on behalf of Converting Florida partnerships, limited partnerships, and limited liability

companies: [See below for required signature(s).]

Signature:

Printed Name: Title:

Signature:

Printed Name: Title:

Signature:

Printed Name: Title:

Signature:

Printed Name: Title:

Signature:

Printed Name: Title:

Signature:

Printed Name: Title:

If Florida General Partnership or Limited Liability Partnership:

Signature of one General Partner.

If Florida Limited Partnership or Limited Liability Limited Partnership:

Signatures of ALL General Partners.

If Florida Limited Liability Company:

Signature of a Member or Authorized Representative.

All others:

Signature of an authorized person.

Fees:

Articles of Conversion: $35.00

Fees for Florida Articles of Incorporation: $70.00

Certified Copy: $8.75 (Optional)

Certificate of Status: $8.75 (Optional)

ARTICLES OF INCORPORATION

FOR RESULTING FLORIDA PROFIT CORPORATION

In compliance with Chapter 607 and/or Chapter 621, F.S. (Profit)

ARTICLE I NAME

The name of the corporation shall be:_____________________________________________________________

ARTICLE II PRINCIPAL OFFICE

The principal place of business/mailing address is:

Principal street address Mailing address, if different is:

____________________________________________ ________________________________________

ARTICLE III PURPOSE

The purpose for which the corporation is organized is:

_____________________________________________________________________________________________

ARTICLE IV SHARES

The number of shares of stock is: ________________________________________________________________

ARTICLE V OFFICERS AND/OR DIRECTORS

Name and Title:_________________________________ Name and Title:________________________________

Address: _________________________________ Address: _________________________________

_________________________________ _________________________________

Name and Title:_________________________________ Name and Title:________________________________

Address: _________________________________ Address: _________________________________

_________________________________ _________________________________

Name and Title:_________________________________ Name and Title:________________________________

Address: _________________________________ Address: _________________________________

_________________________________ _________________________________

.

ARTICLE VI REGISTERED AGENT

The name and Florida street address (P.O. Box NOT acceptable) of the registered agent is:

Name: __________________________________

Address: __________________________________

__________________________________

********************************************************************************

Having been named as registered agent to accept service of process for the above stated corporation at the place designated in

this certificate, I am familiar with and accept the appointment as registered agent and agree to act in this capacity

Required Signature/Registered Agent Date

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