FLORIDA DEPARTMENT OF STATE DIVISION OF CORPORATIONS 605.1045 , Florida Statutes. This form is basic and may not meet all conversio n needs. The advice of an attorney is recommended. Pursuant to s. 605.0102(23) a, F.S., entity means: a business corporation, a nonprofit corporation, a general partnership, including a limited liability partnership, including a limited partnership, inclu ding a limited liability limited partnership; a limited liability company; a real estate investment trust; or any other domestic or foreign entity that is organized under an organic law. Filing Fee: $25.00 Certified Copy (optional): $30.00 Certific ate of Status (optional): $ 5.00 Send one check in the total amount payable to the Florida Department of State. Please include a cover letter containing your telephone number, return address and certification requirements, or complete the attached cover letter. Mailing Address Street Address Registration Section Registration Section Division of Corporations Division of Corporations P. O. Box 6327 Clifton Building Tallahassee, FL 32314 2661 Executive Center Circle Tallahassee, FL 3230 1 For further information, you may contact the Registration Section at (850) 245 - 6051. Important Notice: As a condition of conversion , pursuant to s.605.0212(10), F.S., each party to the conversion must be active and current through December 31 of the c alendar year this document is being submitted to the Department of State for filing. CR2E106 ( 0 5/17 ) American LegalNet, Inc. www.FormsWorkFlow.com COVER LETTER TO: Registration Section Division of Corporations SUBJECT: Name of Florida Limited Liability Company The enclosed Articles of Conversion and fee(s) are submitted to convert a Florida s. 605.1045 , F.S. Please return all correspondence concerning this matter to: Contact Person Firm/Company Address City, State and Zip Code E - mail address: (to be used for future annual report notification) For further information concerning this matter, please call: at ( ) Name of Contact Person Area Code and D aytime Telephone Number Enclosed is a check for the following amount: $25.00 Filing Fee $30.00 Filing Fee $55.00 Filing Fee $60.00 Filing Fee, and Certificate of and Certified Copy Certified Copy, and Status Certificate of Status STRE ET ADDRESS: MAILING ADDRESS: Registration Section Registration Section Division of Corporations Division of Corporations Clifton Building P. O. Box 6327 2661 Executive Center Circle Tallahassee, FL 32314 Tallahassee, FL 32301 CR2E106 ( 0 5/17 ) American LegalNet, Inc. www.FormsWorkFlow.com Articles of Conversion For Florida Limited Liability Company Into Converted or The Articles of Conversion is submitted to convert the following Florida Limited in accordanc e with s. 605. 1045 , Florida Statutes. . Enter Name of Florida Limited Liability Company Converted or Other Business Ent . Converted or Converted or (Enter entity type. Example: corporation, limited partnership, sole proprietorship, general partnership, common law or bu siness trust, etc.) organized, formed or incorporated under the laws of . (Enter state, or if a non - U.S. entity, the name of the country) T he formation document is attached (if applicable). 4 . The plan of conversion was approved by the converting Florida Limited Liability Company in accordance with Chapter 605 , F.S. 5 . This conversion shall be effective in Florida on: . (The effective date: 1) cannot be prior to nor more than 90 days after the date this document is filed by the Florida Department of State; AND 2) must be the same as the effective date of the conversion under the laws governing the Note: If the date inserted in this block does not meet the applicable statutory filing requirements, this date Pa ge 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com 6 . Converte d or - of - state entity not registered to Converted or a .) Lists the following street and mailing address of an office the Florida Department of State may se nd and process served on the department pursuant to 605.0117 and Chapter 48. Street Address: Mailing Address: 7 Converted or appr aisal rights the amount to which such members are entitled under ss. 605.1006 and 605.1061 - 605.1072 , F.S. Signed this day of , 20 Signature: Must be signed by a Memb er or Authorized Representative Pri nted Name: Title: Fees: Filing Fee: $25.00 Certified Copy: $30.00 (Optional) Certificate of Status: $5.00 (Optional) Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com