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Articles Of Conversion Form. This is a Hawaii form and can be use in Business Registration Secretary Of State.
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Tags: Articles Of Conversion, X-10, Hawaii Secretary Of State, Business Registration
Nonrefundable Filing Fee: $100.00
*Nonprofit: $50.00
FORM X-10
7/2008
STATE OF HAWAII
DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS
Business Registration Division
335 Merchant Street
Mailing Address: P.O. Box 40, Honolulu, Hawaii 96810
*X10*
Phone No. (808) 586-2727
ARTICLES OF CONVERSION
(Section 414-272, 415A-16.6, 414D-208, 425-193, 425E-1103, 428-902.6, Hawaii Revised Statutes)
PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK
The undersigned, submitting these Articles of Conversion, certify as follows:
1.
The converting (original) entity was (check one):
Profit Corp.
LLC
2.
Professional Corp.
Nonprofit Corp.
LLP (If LLP must also check General Partnership)
General Partnership
LLLP
The name and state/country of incorporation/formation/organization or qualification of the converting entity was:
______________________________________________________________________________
(Type/Print Entity Name)
3.
_________________________
(State or Country)
The converted (new) entity is (check one):
Profit Corp.
LLC
4.
Limited Partnership
Professional Corp.
Nonprofit Corp.
LLP (If LLP must also check General Partnership)
General Partnership
Limited Partnership
LLLP
The name and state/country of incorporation/formation/organization or qualification of the converted entity is:
______________________________________________________________________________
(Type/Print Entity Name)
_________________________
(State or Country)
5.
The Plan of Conversion has been approved in accordance to Section 414-271, 415A-16.5, 414D-202, 425-192, 425E-1102,
428-902.5, as applicable.
6.
An executed Plan of Conversion is on file at the principal place of business of the converting entity whose address is:
______________________________________________________________________________________________________________
7.
A copy of the Plan of Conversion shall be furnished by the converting entity prior to the conversion or by the converted
entity after the conversion on written request and without cost, to any shareholder, partner, member, or owner of the
converting entity or the converted entity.
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FORM X-10
7/2008
8.
Complete the applicable section. The Plan of Conversion was approved by the converting entity as follows:
A.
By vote of the shareholders of the converting domestic profit/professional corporation:
Number of Shares
Outstanding
Number of Shares Voting
For Conversion
Class/Series
Number of Shares Voting
Against Conversion
OR
B.
By vote of the converting domestic limited liability company:
Total Number of Authorized Votes
Number of Votes
For the Conversion
Number of Votes
Against the Conversion
OR
c.
The converting entity was a foreign profit corporation, a foreign limited liability company, a foreign limited
partnership, a foreign limited liability limited partnership, a domestic or foreign nonprofit corporation, a domestic
or foreign general partnership, or a domestic or foreign limited liability partnership. The approval of the Plan of
Conversion was duly authorized and complied with the laws under which the converting entity was incorporated,
formed, organized, or qualified.
OR
D.
9.
The converting entity was a domestic limited partnership or a domestic limited liability limited partnership and that a
majority of the general partners have agreed to the conversion.
The conversion is effective on the date and time of filing the Articles of Conversion or at a later date and time, no more than
30 days after the filing, if so stated. Check one of the following statements:
Conversion is effective on the date and time of filing the Articles of Conversion.
Conversion is effective on ________________________________________________, at __________________. m. ,
Hawaiian Standard Time, which date is not later than 30 days after the filing of the Articles of Conversion.
I/we certify under the penalties of Section 414-20, 415A-25, 414D-12, 425-13, 425-172, 425E-208, and 428-1302, Hawaii
Revised Statutes, as applicable, that I/we have read the above statements, I/we are authorized to sign this Articles of
Conversion, and that the above statements are true and correct.
Signed this ____________day of ___________________________________, __________
______________________________________________________
_________________________________________________________
(Type/Print Name & Title)
(Signature)
______________________________________________________
_________________________________________________________
(Type/Print Name & Title)
(Signature)
SEE INSTRUCTIONS ON REVERSE SIDE. The articles must be signed by an officer, partner, or other duly authorized
representative of the converting entity.
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FORM X-10
7/2008
Instructions: Articles must be typewritten or printed in black ink, and must be legible. The articles must be signed by an
officer, partner, or other duly authorized representative of the converting entity. All signatures must be in black ink. Submit
articles together with the appropriate fee.
Line 1.
Check what type of entity was the converting (original) entity.
Note: If the converting entity was a domestic or foreign limited liability partnership, the general partnership box must
also be checked.
Line 2.
State the name and state or country of incorporation, formation, organization, or qualification of the converting entity.
Line 3.
Check what type of entity is the converted (new) entity.
Line 4.
State the name and state or country of incorporation, formation, organization, or qualification of the converted entity.
Line 6.
State the complete address (including number, street, city, state, and zip code) of the principal place of business of
the converting entity where the Plan of Conversion is on file.
Line 8.
Complete the applicable section on how the Plan of Conversion was approved by the converting entity.
If the converting entity was a domestic profit or professional corporation, complete A.
If the converting entity was a domestic limited liability company, complete B.
If the converting entity was a foreign profit corporation, foreign limited liability company, a foreign limited
partnership, a foreign limited liability limited partnership, a domestic or foreign nonprofit corporation, a domestic
or foreign general partnership, or a domestic or foreign limited liability partnership, check the box next to C.
If the converting entity was a domestic limited partnership or a domestic limited liability limited partnership,
check the box next to D.
NOTE:
If the converted entity is a domestic corporation, the Articles of Incorporation of the domestic corporation must be
filed together with the Articles of Conversion.
If the converted entity is a domestic general partnership, the Registration Statement for Partnership of the domestic
general partnership must be filed together with the Articles of Conversion.
If the converted entity is a domestic limited partnership, the Certificate of Limited Partnership of the domestic limited
partnership must be filed together with the Articles of Conversion.
If the converted entity is a domestic limited liability company, the Articles of Organization of the domestic limited
liability company must be filed together with the Articles of Conversion.
If the converted entity is a domestic limited liability partnership, the Registration Statement for Partnership of the
domestic general partnership and the Statement of Qualification of the domestic limited liability partnership must be
filed together with the Articles of Conversion.
If the converted entity is a domestic limited liability limited partnership, the Certificate of Limited Partnership of the
domestic limited liability limited partnership must be filed together with the Articles of Conversion.
NOTE:
If the converted entity is a foreign profit or nonprofit corporation, foreign limited liability company, foreign general
partnership, foreign limited partnership, foreign limited liability partnership, or foreign limited liability limited
partnership, such converted entity shall appoint a resident of this State as its agent for service of process in a
proceeding to enforce any obligation or the rights of dissenting members, shareholders or partners of the converting
entity. Form available upon request.
If the converted entity is a foreign entity and will transact business in this State, the appropriate qualification
documents must be filed.
Filing Fees: Filing Fees of $100.00 and $50.00* are not refundable. Make checks payable to DEPARTMENT OF
COMMERCE AND CONSUMER AFFAIRS. Dishonored Check Fee $25.00.
*The filing fee is $50.00 if the converted (new) entity is nonprofit.
For any questions call (808) 586-2727. Neighbor islands may call the following numbers followed by 6-2727 and the # sign:
Kauai 274-3141; Maui 984-2400; Hawaii 974-4000, Lanai & Molokai 1-800-468-4644 (toll free).
Fax: (808) 586-2733
Email Address: breg@dcca.hawaii.gov
NOTICE: THIS MATERIAL CAN BE MADE AVAILABLE FOR INDIVIDUALS WITH SPECIAL NEEDS. PLEASE CALL THE
DIVISION SECRETARY, BUSINESS REGISTRATION DIVISION, DCCA, AT 586-2744, TO SUBMIT YOUR REQUEST.
ALL BUSINESS REGISTRATION FILINGS ARE OPEN TO PUBLIC INSPECTION. (SECTION 92F-11, HRS)
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