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 72201 1094501 682 3409 • www.sos.arkansas.gov
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