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Articles Of Non-Profit Conversion Form. This is a Massachusetts form and can be use in Corporations Division Secretary Of State.
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Tags: Articles Of Non-Profit Conversion, Massachusetts Secretary Of State, Corporations Division
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The Commonwealth of Massachusetts
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Boston, Massachusetts 02108-1512
Articles of Non-Profit Conversion
(General Laws Chapter 156D, Section 9.32; 950 CMR 113.26)
(1) Exact name of corporation prior to filing articles of conversion:_________________________________________________
(2) A corporate name that satisfies the requirements of G.L. Chapter 180, Section 3 and G.L. Chapter 156B, Section 11:
__________________________________________________________________________________________________
(3) The plan of non-profit conversion was duly approved by the shareholders and, if voting by an separate voting group was
required, by each separate voting group in the manner required by G.L. Chapter 156D and the articles of organization.
(4) The plan of nonprofit conversion was duly approved in accordance with the organic law of the domestic nonprofit
corporation.
(5) The following information is required to be included in the articles of organization pursuant to G.L. Chapter 180, Section 3
permitted to be included in the articles pursuant to General Laws, Chapter 180.
ARTICLE I
The exact name of the non-profit corporation is:
ARTICLE II
The purpose of the corporation is to engage in the following activities:
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ARTICLE III
A non-profit corporation may have one or more classes of members. If it does, the designation of such classes, the manner of election or
appointments, the duration of membership and the qualification and rights, including voting rights, of the members of each class, may be
set forth in the by-laws of the corporation or may be set forth below:
ARTICLE IV
*Other lawful provisions, if any, for the conduct and regulation of the business and affairs of the corporation, for its voluntary dissolution,
or for limiting, defining, or regulating the powers of the corporation, or of its directors or members, or of any class of members, are as follows:
ARTICLE V
The by-laws of the corporation have been duly adopted and the initial directors, president, treasurer and clerk or other presiding, financial
or recording officers, whose names are set out on the following page, have been duly elected.
* If there are no provisions, state “None”.
Note: The preceding four (4) articles are considered to be permanent and may only be changed by filing appropriate Articles of Amendment.
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ARTICLE VI
The effective date of conversion of the corporation shall be the date approved and filed by the Secretary of the Commonwealth. If a later
effective date is desired, specify such date, which must be in accordance with General Laws, Chapter180.
ARTICLE VII
The information contained in Article VII is not a permanent part of the Articles of Organization.
a. The street address (post office boxes are not acceptable) of the principal office on the corporation in Massachusetts.
b. The name, residential address and post office address of each director and officer of the corporation is as follows:
Name
Residential Address
Post Office Address
President:
Treasurer:
Clerk:
Directors: (or officers having the
powers of directors)
c. The fiscal year of the corporation shall end on the last day of the month of: ________________________________________
d. The name and business address of the resident agent, if any, of the corporation is: ___________________________________
____________________________________________________________________________________________________
I/We, the below signed incorporator(s), do hereby certify under the pains and penalties of perjury that I/we have not been
convicted of any crimes relating to alcohol or gaming within the past ten years. I/We do hereby further certify that to the
best of my/our knowledge the above-named officers have not been similarly convicted. If so convicted, explain.
IN WITNESS WHEREOF AND UNDER THE PAINS AND PENALTIES OF PERJURY, I/we, whose signature(s) appear below as
incorporator(s) and whose name(s) and business or residential address(es) are clearly typed or printed beneath each signature,
do hereby associate with the intention of forming this corporation under the provisions of General Laws, Chapter 180 and
do hereby sign these Articles of Organization as incorporator(s) this _______ day of ________________________ , 20 _____ ,
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________ .
Note: If an existing corporation is acting as incorporator, type in the exact name of the corporation, the state or other jurisdiction where
it was incorporated, the name of the person signing on behalf of said corporation and the title he/she holds or other authority by which
such action is taken.
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COMMONWEALTH OF MASSACHUSETTS
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Boston, Massachusetts 02108-1512
Articles of Non-Profit Conversion
(General Laws, Chapter 156D, Section 9.32)
I hereby certify that upon examination of these articles of conversion, duly submitted to me, it appears that the provisions of the General Laws relative to the
organization of corporations have been complied with, and I hereby approve said
articles; and the filing fee in the amount of $______ having been paid, said articles
are deemed to have been filed with me this
_____________ day of_______________20_______ at________a.m./p.m.
time
Effective date:__________________________________________________
WILLIAM FRANCIS GALVIN
Secretary of the Commonwealth
Filing fee: Minimum $250
Examiner
Name Approval
C
P
M
R.A.
TO BE FILLED IN BY CORPORATION
Contact Information:
___________________________________________________________
___________________________________________________________
___________________________________________________________
Telephone:____________________________________________________
Email:_______________________________________________________
Upon filing, a copy of this filing will be available at www.sec.state.ma.us/cor.
If the document is rejected, a copy of the rejection sheet and rejected document will
be available in the rejected queue.
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