STATE OF ALABAMA FOREIGN CONVERSION FILING: AMENDMENT OF FOREIGN ENTITY FILING TYPE 1/2019 Page 1 of 3 PURPOSE: In order to change the registration of a foreign entity (any entity formed outside of Alabama) to reflect a conversion or change of entity filing type, the entity must deliver the documentation in this form to the Alabama Secretary of State for filing pursuant to Section 10A, Chapter 1, Article 7, Code of Alabama 1975. THE FILING SHOULD BE FILED AS SOON AS POSSIBLE BUT NOT LATER THAN 90 DAYS AFTER THE CHANGE (10A-1-7.06). INSTRUCTIONS: Mail or email the completed filing package, (email to: foreign.entities@sos.alabama.gov 226 you must use a credit or debit card if filing via email) the filing fee of $25.00 for standard processing or $125.00 for expedited processing (24 hours after receipt of filing) payable by credit/debit card, check, or money order to the Secretary of State, Business Services, P.O. Box 5616, Montgomery, Alabama, 36103-5616. The filing will not be processed if the credit/debit card does not authorize and will be removed from the index if the check is dishonored ($30 fee). All processing instructions are complete in this form and Payment Option Sheet. If you desire a stamped copy returned to you, supply a copy and a pre-addressed postage paid return envelope or an email address on the Payment Option/Return/Hold Sheet attached. The information completing this form must be typed or it will be returned without review 226 the form is fill-able online for your convenience. 1. Information on the converting entity [entity has become the converted entity named in item 2]: The name of the converting entity as currently registered with the Alabama Secretary of State: Legal Name of Foreign entity if entity is authorized in Alabama under a fictitious name: Alabama Entity ID Number : - (Format 000-000) Required for filing. INSTRUCTION TO OBTAIN ID NUMBER TO COMPLETE FORM: If you do not have this number immediately available, you may obtain it on our website at www.sos.alabama.gov Business Services (below picture), Business Entity Search, Search by Entity Name, enter the registered name of the entity in the appropriate box, and enter. The six (6) digit number containing a dash to the left of the name is the entity ID number. If you click on that number, you can check the details page to make certain that you have the correct entity 226 this verification step is strongly recommended. Jurisdiction of formation/authority: Date of Formation in jurisdiction of formation/authority: / / (MM/DD/YYYY) (For SOS Office Use Only) American LegalNet, Inc. www.FormsWorkFlow.com FOREIGN CONVERSION FILING: AMENDMENT OF FOREIGN ENTITY FILING TYPE Page 2 of 3 2. Information on the converted (formed/created by conversion) 226 this entity will continue registration under the existing AL Entity ID Number: The legal name of the new entity resulting from this conversion (A foreign name registration from the Alabama Secretary of State is required if the name is being changed more than the entity identifier 226 Inc, LLC, LP, LLP, etc). The entity identifier must change. If only the entity identifier is changing no name reservation is required: Fictitious name in Alabama if that is still required (a fictitious name may only be used if the legal name is not available or if adding an entity identifier required by 10A-1-5 to the end of the legal name): Jurisdiction of formation/authority: State/country should change only if the entity has changed jurisdictions during the conversion process. 3. Type of entity formed/created by conversion: Business Corporation Limited Partnership (LP) Nonprofit Corporation Limited Liability Partnership (LLP) Professional Corporation (PC) Professional Limited Liability Partnership (PLLLP) Limited Liability Company (LLC) Limited Liability Limited Partnership (LLLP) Series Limited Liability Company (SLLC) Employee Cooperative Corporation Professional Limited Liability Company (PLLC) Real Estate Investment Trust 4. Street (No PO Boxes) Address of principal office: Mailing Address (if different) 5. Name of registered agent for service of process (MUST be physically located in Alabama and organizations must have AL Entity ID Number): Individual: OR Organization/Entity: # - 6. Street (No PO Boxes) Address of initial registered office in Alabama (MUST be physically located in Alabama and the Registered Agent must maintain a business office at the address): Mailing Address of registered office in Alabama (if different) American LegalNet, Inc. www.FormsWorkFlow.com FOREIGN CONVERSION FILING: AMENDMENT OF FOREIGN ENTITY FILING TYPE Page 3 of 3 Additional Documentation Requirements/Certifications/Signatures 7. The undersigned certifies that the Conversion was certified by the jurisdiction of formation/authority showing that the conversion was effectuated prior to the file/effective date of this filing. Demonstrates compliance with 10A-1-8.02(f) (2)(b). 8. Limited Partnerships or Limited Liability Limited Partnerships: If the converted entity is a LP or LLLP the name, street, and mailing addresses of each of the general partners must be listed and attached. 9. Professional Services Entity: If the converted entity is designated a professional services entity a copy of the Alabama license for the designated member/director/partner must be attached. 10. The undersigned certifies familiarity with grounds for revocation of a foreign entity under 10A-1-7.12. The Secretary of State may commence a proceeding under Section 10A-1-7.13 to revoke the registration of a foreign entity authorized to transact business in this state if for reasons of: non-payment of annual fees or filing of annual reports, if required for the entity type; non-payment of taxes, interest or penalties; failure to maintain a registered agent in the State of Alabama or failure to notify the Secretary of State of a change of registered agent within 60 days of a change; false information intentionally filed; or certification by the jurisdiction of origin that the entity no longer exist in that jurisdiction. 11. The undersigned certifies that the conversion is permitted by the law of the state or country under whose law the converting foreign entity was formed and the converting foreign entity has complied with that law in effecting this conversion. Date Typed Name and Title of Signature Below Signature of Person Authorized to Sign per 10A-1-4.01, Alabama Code American LegalNet, Inc. www.FormsWorkFlow.com Amendment/Conversion by Registered Foreign Entity Payment/Return/Hold Sheet 3/2016 Secretary of State Payment Option/Return/Hold Sheet: If you do not send an acknowledgement copy and a pre-addressed postage paid envelope with the filling or provide an email return on this form, you will not receive a credit card or prepaid account receipt from the Secretary of State222s Office. Hold for pickup request will have the receipt attached. The document of record will be stamped showing the receipt of the filing fee and expedite fee but will not show convenience fees which will be charged; (generally these fees are between 2% and 5% of the total charge). Information MUST be typed or filing will be returned without review. Converting Entity Name: AL Entity ID #: -(Format 000-000)Service Requested: $ 25.00 Amend/Convert for registered foreign entity filing fee$100.00 Expedited Processing fee (must be included with initial filing)Hold at Front Desk for Pick-up for: (Service providers who run couriers for pick-up) There is no notification service and there will not be a call for pick-up. Return via email (only one email): No paper copy will be Check is attached - Please make one check payable for the total amount of the fees (i.e., $125 if you are requesting expedited service) to the Alabama Secretary of State. Charge fees to prepaid account: Account Number and Account Name Typed Name & Signature of Authorized Individual on Account Credit Card Type: (Visa, MC, Discover & AmEx) Card Number: Expiration Mo/Yr: / (MM/YY) Card Holder Name: Complete Billing Address: Street or PO City State Zip Signature of Card Holder: MUST be Signature of Card Holder American LegalNet, Inc. www.FormsWorkFlow