APPLICATION FOR ARTICLES OF ORGANIZATIONFor Conversion From Partnership or Limited Partnershipto Limited Liability Company(Act 479 of 1997)The undersigned hereby states that the partnership/limited partnership state below was converted to a limited lia-bility company, as approved by all of the partners or by a number or percentage of the partners specified for con-version in the partnership agreement. If the entity was a limited partnership, the certificate of limited partnership iscanceled as of the effective date of the conversion. 1.Former Name of Partnership or Limited Partnership:2.Number of votes cast by partners:ForAgainstIf less than unanimous, the number or percentage required for approval:3.Effective Date (if later than date filed with the Secretary of State):I understand that knowingly signing a false document with the intent to file with the Arkansas Secretary of Stateis a Class C misdemeanor and is punishable by a fine up to $100.00 and/or imprisonment up to 30 days.Signature of authorized manager, member or person forming this Company:Authorizing Officer (Type or Print)Authorized SignatureDate A F F I D A V I T, State ofCounty ofSubscribed and sworn to before me, a Notary Public, within and for the county ofand the State of Arkansas this day of , .My commission expires:Signature of Notary Public (Please apply seal belowPlease note that this form may be filed only in conjunction with the Articles of Organizationform for Limited Liability Companies.Filing Fee: $15.00 payable to Arkansas Secretary of State Rev. 001027021n024030n030007r013027r031n027035025016007031n031r American LegalNet, Inc. www.FormsWorkFlow.com