Application For Registration Including Articles Of Conversion {LLP-01A}

BUSINESS REGISTRATION DIVISION P.O. BOX 29622 RALEIGH, NC 27626-06222 (Revised August, 2017) Form LLP-01A State of North Carolina Department of the Secretary of State APPLICATION FOR REGISTRATION INCLUDING ARTICLES OF CONVERSION Registered Limited Liability Partnership Pursuant to 247247 59-73.12 and 59-84.2 of the General Statutes of North Carolina, the undersigned hereby submits this application for registration including articles of conversion for the purpose of converting to a Registered Limited Liability Partnership. 1.The name of the resulting partnership is: . 2.The domestic partnership is being formed pursuant to a conversion of another business entity. 3.The name of the converting business entity is. 4.The converting business entity is a (check one) domestic corporation; foreign corporation; domestic limited liability company; foreign limited liability company; domestic limited partnership; foreign limited partnership; foreign limited liability partnership; or other partnership defined in G.S. 59-36 not formed under the laws of North Carolina. 5.The organization and internal affairs of the converting business entity are governed by the laws of the state or countryof . . A plan of conversion has been approved by the converting business entity as required by law. Principal Office Telephone Number: Number and Street: City: State: Zip Code: County: The mailing address, if different from the street address, Number and Street: City: State: Zip Code: County: . The name of the initial registered agent is: . . The street address and county of the initial registered office of the limited liability partnership is: Number and Street City: State: NC Zip Code: County: American LegalNet, Inc. www.FormsWorkFlow.com BUSINESS REGISTRATION DIVISION P.O. BOX 29622 RALEIGH, NC 27626-06222 (Revised August, 2017) Form LLP-01A 1. The mailing address, if different from the street address, of the initial registered office is: Number and Street City: State: NC Zip Code: County: 1. The fiscal year end of the partnership. 1. (Optional): Please provide a business e-mail address: . -mail the business automatically at the address provided at no charge when adocument is filed. The e-mail provided will not be viewable on the website. For more information on why thisservice is being offered, please see the instructions for this document. 1. This registration will be effective upon filing, unless a date and/or time is specified: This the day of , 20. (Organizing Business Entity Name) Signature Type or Print Name and Title NOTES: Filing fee is $125. This document must be filed with the Secretary of State. American LegalNet, Inc. www.FormsWorkFlow.com BUSINESS REGISTRATION DIVISION P.O. BOX 29622 RALEIGH, NC 27626-06222 (Revised August, 2017) Form LLP-01A Instructions Application for Registration Registered Limited Liability Partnership Including Articles of Conversion (Form LLP-01A) 1. This application must be executed by one or more partners. 2. This application must be accompanied by a filing fee of one hundred twenty-five dollars ($125.00). 3. The executed application, along with the filing fee, should be filed with the Corporations Division at the address below or submitted online: Department of the Secretary of State Post Office Box 29622 Raleigh, North Carolina 27626-0622 4. If the application is properly completed and submitted with the correct filing fee, the Secretary of State will file the application and return a conformed copy stamped with the effective date of filing. If you want an electronic copy e-mailed at the time of filing, please include a valid e-mail address with your correspondence. 5. Note: The plan of conversion is not required to be filed with this document. 6. Optional E-Mail Address: The Department offers a free voluntary notification system for which you may choose to participate. If you would like to receive this free service, please provide a business e-mail address in the space provided. Your participation will not result in your e-mail address being viewable on our website. Participation will help us to prevent identity theft in the event an unauthorized person submits a fraudulent document for filing in the name of the business entity. Each Registered Limited Liability Limited Partnership must file an annual report with the Secretary of State by the fifteenth day of the fourth month following the close of the Registered Limited Liability Limited r. The fee for the annual report is $200. The form for the annual report is prescribed by the Secretary of State and may be filed online at www.sosnc.gov. American LegalNet, Inc. www.FormsWorkFlow.com