Articles Of Entity Conversion (Unincorporated To NP) {SS-9406}

SS-9406 (01/15) Business Services Division Tre Hargett, Secretary of State State of Tennessee INSTRUCTIONS $100.00 Filing Fee ARTICLES OF ENTITY CONVERSION (Domestic Unincorporated Entity to a Domestic Nonprofit Corporation) Articles of entity conversion may be filed using one of the following methods: Paper submission: A blank articles of entity conversion may be obtained by going to http://www.tn.gov/sos/forms/ss-9406.pdf, by emailing the Secretary of State at TNSOS.CORPINFO@tn.gov , or by calling (615) 741-2286. Articles must be hand printed in ink or computer generated and mailed along with the required filing fee to the Secretary of State222s office at 6th FL 226 Snodgrass Tower ATTN: Corporate Filing, 312 Rosa L. Parks AVE, Nashville, TN 37243. Walk-in: A blank articles of entity conversion form may be obtained in person at the Secretary of State Business Services Division located at 6th FL 226 Snodgrass Tower, 312 Rosa L. Parks AVE, Nashville, TN 37243. Articles of entity conversion must be accurately completed in their entirety. Forms that are inaccurate, incomplete or illegible will be rejected. Please note that if the converting entity is on file with the Secretary of State, the converting entity must have a status of 223active224 in order to file articles of conversion. Furthermore, if the converting entity is currently due to file an annual report with the Secretary of State at the time of filing, it must file the annual report before the Division of Business Services can file the articles of entity conversion. If the converting entity does not have a status of 223active224 and/or owes an annual report and submits articles of entity conversion without submitting the annual report, the articles of entity conversion will be rejected. Articles of entity conversion (domestic unincorporated entity to a domestic business corporation) set forth the items required under T.C.A. 247 48-61-112(b). ARTICLES OF ENTITY CONVERSION (Domestic Unincorporated Entity to a Domestic Business Corporation) 1. Name of unincorporated entity immediately before the filing of the articles of entity conversion 226 Enter the name of the business entity immediately prior to converting to a Tennessee nonprofit corporation. Name to which the unincorporated entity is to be changed 226 Enter the new name of the business entity upon filing the articles of entity conversion. The new name must satisfy the requirements for a Tennessee nonprofit corporation as described in T.C.A. 247 48-54-101. Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com If the new name contains the word 223bank224, 223banks224, 223banking224, 223credit union224 or 223trust224, written approval must first be obtained from the Tennessee Department of Financial Institutions before documents can be accepted for filing with the Division of Business Services. If the new name contains the phrase 223insurance company224, written approval must first be obtained from the Tennessee Department of Commerce & Insurance before documents can be accepted for filing with the Division of Business Services. 2.The plan of entity conversion was duly approved in accordance with the organic law of theunincorporated entity 226 By signing the articles of entity conversion the signer acknowledges this statement to betrue. 3.Attached is the charter, except that provisions that would not be required to be included in a restatedcharter of a domestic nonprofit corporation may be omitted 226 Articles of entity conversion must beaccompanied by the charter of the new Tennessee nonprofit corporation. A nonprofit corporation charter formmay be obtained at http://www.tn.gov/sos/forms/ss-4418.pdf . 4. If the document is not to be effective upon filing by the Secretary of State, the delayed effective date andtime is 226 If the conversion is to take place upon a future date, enter the future date and time. In no event can thefuture date be more than ninety calendar days from the filing of the articles of entity conversion. If no time isprovided with the delayed effective date, the delayed effective time will be 4:30 P.M. Central Time. SIGNATURE The person executing the document must sign it and indicate the date of signature in the appropriate spaces.Failure to sign and date the application will result in the document being rejected. Type or Print Name. Failure to type or print the signature name will result in the document being rejected. Type or Print Signer222s Capacity. The signer must indicate the capacity in which such person signs. Failure toindicate the signer222s capacity will result in the document being rejected. FILING FEE The filing fee for articles of entity conversion (domestic unincorporated entity to a domestic nonprofit corporation)is $100. Please note that the filing fee ($100) for the accompanying nonprofit corporation charter must betendered along with the fee ($100) for the articles of entity conversion for a total fee of $200. Failure totender the fee for each submitted document will result in all documents being rejected. Make check, cashier222s check or money order payable to the Tennessee Secretary of State. Cash is onlyaccepted for walk-in filings. Applications submitted without the proper filing fee will be rejected. Checks,cashier222s checks or money orders made out to any payee other than the Tennessee Secretary of State willnot be accepted and will result in the rejection of the document. Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com ARTICLES OF ENTITY CONVERSION Corporation) (ss-9406)Business Services DivisionTre Hargett, Secretary of StateState of Tennessee312 Rosa L. Parks Ave., 6th Fl.Nashville, TN 37243(615) 741-2286Filing Fee: $100.00 undersigned hereby submits these articles of entity conversion: (must satisfy requirements of T.C.A. 247 48-54-101) (Not to exceed 90 days) þ þ *Note: Pursuant to T.C.A. 24710-7-503 all information on this form is public record. þ þ þ þ / þ / þ þ þ þ þ Name (printed or typed) þ þ þ ) þ American LegalNet, Inc. www.FormsWorkFlow.com