This Document was prepared by: (For County Probate Court Office Use Only) Domestic Conversion 226 1/2019 Page 1 of 3 1.Information on the converting entity (entity will change entity type at conversion and will retain the unique ALEntity ID Number originally assigned): Alabama entity id number of converting entity: -(Format 000-000) * *INSTRUCTIONS 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 Click on Business Services below the picture, click on Business Entity Search, click on Entity Name, enter the registered name of the entity (without entity ending) 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. Click on that number to check the details page to make certain that you have the correct entity 226 this verification step is strongly recommended. The name of the converting entity as recorded with the Secretary of State of Alabama: County Probate Office in Alabama where the formation documents of this domestic entity were recorded and where the conversion document will be forwarded after recording: STATE OF ALABAMA CONVERSION OF A DOMESTIC ENTITY Professional Corporation to Limited Liability Company PURPOSE: In order to change the entity type of a domestic entity (any entity formed in Alabama), the entity must deliver the documentation in this form pursuant to Section 10A, Chapter 1, Article 8, and Chapter 5A, Code of Alabama 1975. INSTRUCTIONS: Mail one (2) signed copies of the completed Conversion package, the filing fee of $.00 (credit card, check, or money order) to the Secretary of State, Business Services, P.O. Box 5616, Montgomery, Alabama, 36103-5616, and a check or money order made out to the Judge of Probate in the county where the converting entity222s formation documents were recorded (contact the Office of the Judge of Probate for the fees). The Secretary of State will (For SOS Office Use Only)file and transmit a certified copy to the Judge of Probate in accordance with 10A-1-4.02(g). The Conversion will not be registered if the credit card does not authorize and will be removed from the index if the check is dishonored ($30 fee). If you desire a stamped copy returned to you, supply a third copy and a pre-addressed postage paid return envelope. All information required to file this conversion is provided in the form or may be attached per Code. Cover letters are not required and will be disregarded since they are not part of the filing. This form must be typed or laser printed. Emailed transmissions will not be acknowledged, processed, or returned. American LegalNet, Inc. www.FormsWorkFlow.com CONVERSION OF DOMESTIC ENTITY / Professional Corporation to Limited Liability Company Page 2 of 3 2.Information on the converted (formed by conversion changing the converting entity but retaining the uniqueAL Entity ID Number originally assigned) 226 this entity will continue to exist: The name of the new domestic entity resulting from this conversion (A domestic name reservation certificate issuedby the Alabama Secretary of State must be attached if the name is changing anything more than the entity identifierinformation 226 such as Inc., LLC, etc. 226 if only the identifier information is changing, no name reservation is requiredname): 3.The undersigned certifies that the converted entity is a domestic limited liability company and has at least onemember. 4.Check only if applies to the converted Limited Liability Company: Series LLC complying with Title 10A, Chapter 5A, Article 11 Professional LLC complying with Title A. Chapter 5A, Article 8 5.Name of registered agent for service of process in Alabama (must be physically located in Alabama): 6.Street (No PO Boxes) Address of initial registered office (MUST be physically located in Alabama): Mailing Address in Alabama (if different) 7.Optional Information: Name(s) of the Organizer(s): Street (No PO Boxes) address of Organizer(s): Mailing address of Organizer(s) 226 (if different from street address): Attach a listing if more Organizers need to be added. 8.If the converted entity is one in which one or more owners lack limited liability protection, a statement that eachowner of the converting entity who is to become a owner without limited liability protection of the resulting entityhas consented in writing to the conversion as required by 10A-1-8.01 is attached. 9.The undersigned certify that the conversion was approved pursuant to Code of Alabama 1975, Title 10A, Chapter 1,Article 8 (specifically 10A-1-8.01) and that the information included in or attached to this conversion form are trueand correct. 10.Signature requirements are in accordance with 10A-1-4.01 and 10A-5A-2.04 of the Code of Alabama 1975. 11.The filing of the converted entity as a Limited Liability Company is effective upon filing by the Office of the Alabama Secretary of State or at the delayed effective date stated below (pre-effective dates are not allowed in Alabama Code). 10A-1-4.12 American LegalNet, Inc. www.FormsWorkFlow.com CONVERSION OF DOMESTIC ENTITY / Professional Corporation to Limited Liability Company Page 3 of 3 The undersigned specify / / as the effective date (MUST be on or after the date of filing in the Office of the Alabama Secretary of State, but no later than the 90th day after the ate this instrument was signed). Attached are any other provisions that are not inconsistent with law relating to organization, ownership, governance, business, or affairs of the limited liability company. Signatures 226 Use additional page(s) if necessary (Only one signature required 226 as many may sign as desired) Date Typed Name and Title (Organizer/Attorney-In-Fact) of Signature Below Signature of Person Authorized to Sign Date Typed Name and Title (Organizer/Attorney-In-Fact) of Signature Below Signature of Person Authorized to Sign American LegalNet, Inc. www.FormsWorkFlow.com Domestic Conversion 226 Credit Card/Prepaid Acct. Option Sheet 226 11/2018 Secretary of State Credit Card or Prepaid Payment Option/Return/Hold Sheet: If you do not send an acknowledgement copy and a pre-addressed postage paid envelope with the filing 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. Entity Name: AL Entity ID Number of converting entity: - (ex: 000-000) Service Requested: $.00 Conversion filing fee $100.00 Expedited Processing fee (must be included with initial filing) Hold at Front Desk for Pick-up by: (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 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.com