Arkansas LLC Articles of Conversion Form

To convert an LLC to another type of entity, the registered agent must fulfill this form and submit it to Arkansas’ Secretary of State. Specifically, form must be mailed to this address: ______________.Download

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Filing Fee
: Partnership $15.00, Limited Liability Company $25.00, Corporation $ 50.00    DN-01 Rev. 10/2008  Art_Conv  Rev  12 /2009  ARTICLES OF CONVERSION 
ACT 408 OF 2009 
(PLEASE T YPE 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 statut e 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           A uthorizing Officer and Title of Officer (T ype 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
M	ark	M	artin	
Business & Commercial Services, 250 \bictory Buil\fing, 1401 W. Capitol, Little Rock	
State Capitol • Little Rock, Arkansas 7220110945016823409 • www.sos.arkansas.gov