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. NOTE: This form is to be used when the entity that wishes to engage in a conversion is a domestic entity prior to the filing of the Articles of Conversion. This form may be used by the domestic entity to become either a domestic entity of a different type or a foreign entity of a different type. PLEASE NOTE: IF A DOMESTIC ENTITY IS FILING THESE ARTICLES OF CONVERSION TO BECOME A FOREIGN ENTITY OF A DIFFERENT TYPE, THE DOMESTIC ENTITY'S BUSINESS RECORD WILL BECOME INACTIVE AND THE NEW NAME OF THE FOREIGN ENTITY WILL NOT BE REFLECTED IN THE BUSINESS RECORD. IF THE NEW FOREIGN ENTITY WILL CONTINUE TO DO BUSINESS IN INDIANA, IT WILL NEED TO FILE A FOREIGN REGISTRATION STATEMENT. (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.) Please complete either a. or b. below. 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 American LegalNet, Inc. www.FormsWorkFlow.com