Arkansas Secretary of State Mark Martin 1401 W. Capitol, Suite 250, Little Rock, AR 72201 501-682-3409 � www.sos.arkansas.gov APPLICATION FOR ARTICLES OF ORGANIZATION For Conversion From Partnership or Limited Partnership to Limited Liability Company (Act 479 of 1997 and A.C.A � 4-32-1202) The undersigned hereby states that the partnership/limited partnership state below was converted to a limited liability company, as approved by all of the partners or by a number or percentage of the partners specified for conversion in the partnership agreement. If the entity was a limited partnership, the certificate of limited partnership is canceled as of the effective date of the conversion. 1. Former Name of Partnership or Limited Partnership: 2. Number of votes cast by partners: For Against If 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 State is 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 Signature Date A F F I D AV I T State of County of Subscribed and sworn to before me, a Notary Public, within and for the county of and the State of Arkansas this day of , , . My commission expires: Signature of Notary Public (Please apply seal below Please note that this form may be filed only in conjunction with the Articles of Organization form for Limited Liability Companies. Filing Fee: $15.00 payable to Arkansas Secretary of State Rev. 10/15 American LegalNet, Inc. www.FormsWorkFlow.com