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Massachusetts Corporation Non Profit Conversion Form

In the case of corporation registered as a non-profit in the State of Massachusetts wanting to convert into a for-profit entity, the Massachusetts Corporation Non-Profit Conversion Form has to completed and submitted along with a $250 filing fee.

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The Commonwealth of Massachusetts	
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Boston, Massachusetts 02108-1512	
c156ds932950c11326  07/19/04	
Articles of Non-Profit Conversion	
(General Laws Chapter 156D, Section 9.32; 950 CMR 113.26)	
(1)	 E	xact name of corporation prior to filing articles of conversion:	 ________________________________________________	
(2)	 A corporate name that satisfies the r	 equirements of G.L. Chapter 180, Section 3 and G.L. Chapter 156B, Section 11:
   	 ________________________________________________________________________\
_________________________	
(3)	 The plan of non-pr	ofit conversion was duly approved by the shareholders and, if voting by an separate voting group was 	
required, by each separate voting group in the manner required by G.L. Chapter 156D and the articles of organization.	
(4)	 The plan of nonpr	ofit conversion was duly approved in accordance with the organic law of the domestic nonprofit 	 
corporation.
(5) The following information is required to be included in the articles of organization pursuant to G.L. Chapter 180, Section 3  permitted to be included in the articles pursuant to General Laws, Chapter 180.	
ARTICLE I	
The exact name of the non-profit corporation is:	
ARTICLE II	
The purpose of the corporation is to engage in the following activities:	
P.C.
D
PC

COMMONWEALTH OF MASSACHUSETTS	
W
Secretary of the Commonwealth
One Ashburton Place, Boston, Massachusetts 02108-1512	
Articles of Non-Profit Conversion
(General Laws, Chapter 156D, Section 9.32) 	
I hereby certify that upon examination of these articles of conversion, duly sub -
mitted to me, it appears that the provisions of the General Laws relative to the 
organization of corporations have been complied with, and I hereby approve said 
articles; and the filing fee in the amount of $______ having been paid, \
said articles 
are deemed to have been filed with me this 
_____________ day of	
 ______________	20_______at	 _______	a.m./p.m.	
 	time	
Effective date:	 _________________________________________________	
 	
WILLIAM FRANCIS GALVIN	
S
Filing fee:  Minimum $250	
TO BE FILLED IN BY CORPORATION	
Contact Information:
___________________________________________________________
___________________________________________________________
___________________________________________________________
Telephone:	
 ___________________________________________________	
Email:	 ______________________________________________________	
Upon filing, a copy of this filing will be available at www.sec.state.ma.us/cor.
If the document is rejected, a copy of the rejection sheet and rejected document will
be available in the rejected queue.	
Examiner 
 
Name Approval 
 
C 
 
P 
 
M 
 
R.A.
Next: Michigan Secretary of State Certificate of Assumed Name Form Previous: Michigan Secretary of State Entity Conversion Form
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