Instructions for Completing the Certificate of Conversion (Form CONV-1A) Where to File: For easier completion, this form is available on the Secretary of State's website at www.sos.ca.gov/business-programs/business-entities/forms and can completed online and printed to mail. The completed form can be mailed to Secretary of State, Document Filing Support Unit, 1500 11th Street, 3rd Floor, Sacramento, CA 95814 or delivered in person (drop off) to the Sacramento office. If you are not completing this form online, please type or legibly print in black or blue ink. This form is filed only in the Sacramento office. Legal Authority: Statutory provisions for conversion purposes are found in the California Corporations Code commencing with sections 1150, 3300, 15911.01, 16901 and 17710.01. All statutory references are to the California Corporations Code, unless otherwise stated. Note: If the converting entity is a domestic (California) limited partnership, signing Form CONV-1A constitutes an affirmation under penalty of perjury that the facts stated in the document are true. (Section 15902.08(b).) Form CONV-1A may be used for the following conversions: A California limited liability company, California limited partnership or registered California general partnershipconverting into a foreign other business entity; orA California stock corporation, California limited liability company, California limited partnership or registeredforeign other business entity converting into a California general partnership that does not desire to register inCalifornia. If the California general partnership wants to register as part of the conversion use FORM GP-1A.The conversion of a California corporation, California limited liability company, California limited partnership, or California general partnership may be effected ONLY if: (1) the laws of the converting entity and converted entity expressly permit the creation of that converted entity pursuant to a conversion; and (2) the conversion complies with any and all other applicable California and foreign laws. There are no statutory provisions in California allowing a California corporation to convert into a foreign corporation or a foreign other business entity. The term 223other business entity224 is defined in sections 174.5, 1150, 3300, 15911.01, 16901 and 17710.01. Fees: If a California corporation is the converting entity, the filing fee is $150.00. For all other conversions, the filing fee is $30.00. A non-refundable $15.00 special handling fee is applicable for processing documents delivered in person (drop off) at the Sacramento office. The preclearance and/or expedited filing of a document within a guaranteed time frame can be requested for an additional non-refundable fee in lieu of the special handling fee. For detailed information about preclearance and expedited filing services, go to www.sos.ca.gov/business-programs/business-entities/service-options. Payment for special handling or preclearance and expedited filing services should be made in a separate check. These services are not applicable to documents submitted by mail. Check(s) should be made payable to the Secretary of State. Copies: Upon filing, we will return one (1) uncertified copy of your filed document for free, and will certify the copy upon request and payment of a $5.00 certification fee at the time of submission. To get additional copies, include a separate request and payment for copy fees when the document is submitted. Copy fees are $1.00 for the first page and $.50 for each additional page. For certified copies, there is an additional $5.00 certification fee, per copy. Complete the Certificate of Conversion (Form CONV-1A) as follows: Item 1. Enter the exact name of the converted entity. Item 2. Enter the form of the converted entity (i.e., limited liability company, limited partnership, corporation, etc.) Item 3. Enter the jurisdiction of the converted entity. Item 4. If the converting entity is a California limited partnership, enter the mailing address, including zip code, of the chief executive office of the converted entity. Please do not abbreviate the name of the city. Item 5. If the converting entity is a California limited liability company or a registered California general partnership, enter the street address, including the zip code, of the chief executive office of the converted entity. Please do not enter a P.O Box or abbreviate the name of the city. Item 6. If the converting entity is a registered California general partnership, enter the street address of the California office of the converted entity, if any. Please do not enter a P.O Box or abbreviate the name of the city. CONV-1A INSTRUCTIONS (REV /201) PAGE 1 OF 2 American LegalNet, Inc. www.FormsWorkFlow.com CONV-1A Instructions Page 2 of 2Item 7. If the converting entity is a California corporation, limited liability company, limited partnership or registered general partnership: 7a. Enter the name of the converted entity's agent for service of process. (Sections 1155, 3304, 15911.06, 16309 and 17710.06.) An agent is an individual, whether or not affiliated with the converted entity, designated to accept service of process if the converted entity is sued. The agent should agree to accept service of process on behalf of the converted entity partnership prior to designation. If a California registered corporate agent is designated as agent for service of process, that corporation must have previously filed with the California Secretary of State, a certificate pursuant to California Corporations Code section 1505. Note: The converted entity cannot act as its own agent and no California or foreign corporation may file pursuant to Section 1505 unless the corporation is currently authorized to engage in business in California and is in good standing on the records of the California Secretary of State. 7b. If an individual is designated as the agent for service of process, enter the agent222s business or residential street address. Please do not use a P.O. Box address, and do not enter 223in care of224 (c/o) or abbreviate the name of the city. Do not complete Item 7b if a California registered corporate agent is designated as the agent as the address for service of process is already on file. 7c. If an individual is designated as the agent for service of process, enter the mailing address of the designated agent for service of process. Please do not abbreviate the name of the city. Do not complete Item 7c if a California registered corporate agent is designated as the agent as the address for service of process is already on file. Item 8. Enter the exact name of the converting entity. Item 9. Enter the form of the converting entity (i.e. corporation, limited liability company, limited partnership, etc.) Item 10. Enter the jurisdiction (state, country or other place) in which the converting entity was formed or organized. Item 11. Enter the file number issued to the converting entity by the California Secretary of State, if any. Item 12. This statement is required by statute and must not be altered. If a vote was required pursuant to applicable law, specify the class and the number of outstanding interests of each class entitled to vote on the conversion and the percentage vote required for each class. Attach additional pages, if necessary. Item 13. Attach any other information required by the laws of the jurisdiction of the converting entity, if any. Item 14. Form CONV-1A must be signed as required by the applicable statutes, as follows: If the converting entity is a California corporation: Form CONV-1A must be signed andacknowledged by the chairman of the board, the president or any vice president AND the secretary, thechief financial officer, the treasurer or any assistant secretary or assistant treasurer. (Section 1155(b)or 3304(b).)If the converting entity is a California limited liability company: Form CONV-1A must be signedand acknowledged by all the members of a member-managed limited liability company or all managersof a manager-managed limited liability company, unless a lesser number is provided in the articles oforganization or the operating agreement.