INSTRUCTIONS: 1. Use 8275224 x 11224 white paper for attachments. 2. Please TYPE or PRINT in INK. 3. Please visit our office on the web at www.sos.IN.gov 4. Make check or money order payable to the Secretary of State. 5. Submit original completed paperwork and payment to: 302 West Washington Street, Room E-018, Indianapolis, IN 46204. Please note: This form is to be used when the entity that wishes to engage in a conversion is a foreign entity prior to the filing of the Articles of Conversion. This form may be used by the foreign entity to become a domestic entity of another type. If a foreign entity wishes to become a foreign entity of a different type, please file a Notice of Conversion. (SOS use only) (If different from above 226 SOS use only) American LegalNet, Inc. www.FormsWorkFlow.com (The name must meet the requirements of Indiana Code 23-0.5-3-1.) (Example: corporation, limited liability company, etc.) (month, day, year)(The effective date may not be more than ninety (90) days after the date the Articles of Conversion were filed.) To determine if your Registered Agent is a Commercial Registered Agent (CRA), go to INBIZ.in.gov. Provide either commercial registered agent or noncommercial registered agent information below. (Do not provide address.) (number and street) (A P.O. Box is not acceptable unless accompanied by a Rural Route number.) (OPTIONAL) American LegalNet, Inc. www.FormsWorkFlow.com