Office of the Minnesota Secretary of State Articles of Conversion Minnesota Statutes, Chapter 302A Read the instruction before completing this form. Filing Fee: $55 for expedited service inperson, $35 if submitted by mail The following type of organization is being converted into another organization and was approved as required by Chapter 302A 1. Check the appropriate box for this conversion filing: Business Corporation (Domestic) governed under Chapter 302A converting to a Limited Liability Company(Domestic) under Chapter 322C. Business Corporation (Domestic) governed under Chapter 302A converting to a Limited Liability Company(Foreign). Business Corporation (Domestic) governed under Chapter 302A to a Business Corporation (Foreign). usiness Corporation () 2.Name of Organization before the Conversion is: (Required) 3. Home Juri sdi ction of Organi zation before the Conversi on is: 4.Name of the Organization after the Conversion shall be: (Required) Business Corporation (Domestic) governed under Chapter 302A converting to a Business Corporation (Domestic) governed under Chapter 302A converting to a Business Corporation (Domestic) governed under Chapter 302A converting to a American LegalNet, Inc. www.FormsWorkFlow.com Office of the Minnesota Secretary of State Articles of Conversion Minnesota Statutes, Chapter 302A 6.The time the Conversion is effective under the governing statute of the Converted Organization is: 5.Home Jurisdiction of Organization after the Conversion shall be: .The Terms and Conditions of the Proposed Conversion are: If no Terms and Conditions are listed, the undersigned personally certifies that there are no Terms and Conditions 7.If the convert organization is a domestic organization, the plan of conversion was approved underSection. If the convert organization is a foreign organization, the conversion wasapproved as required by the governing statue of the converted organization..A Converted Organization that is a foreign organization and not authorized to transact business inthis state appoints the secretary of state as its agent for service of process for purposes of enforcinga debt, obligation, or other liability under this subdivision. The street address of an office that thesecretary of state may use for the purposes of section 302A.691, subd3 .Include a copy of the Articles ofIncorporation orArticles of Organization. (Required) American LegalNet, Inc. www.FormsWorkFlow.com Check here to have your email address excluded from requests for bulk data, to the extent allowed by Office of the Minnesota Secretary of State Articles of Conversion Minnesota Statutes, Chapter 302A 1.I, the undersigned, certify that I am signing this document as the person whose signature is required, or asagent of the person(s) whose signature would be required who has authorized me to sign this document onhis/her behalf, or in both capacities. I further certify that I have completed all required fields, and that the information in this document is true and correct and in compliance with the applicable chapter of MinnesotaStatutes. I understand that by signing this document I am subject to the penalties of perjury as set forth inSection 609.48 as if I had signed this document under oath. Authorized Signature of Individual on Behalf of the Converting Company or Authorized Agent (Required) Email Address for Official Notices Enter an email address to which the Secretary of State can forward official notices required by law and other notices: Minnesota l aw. Listthe name and daytime phone number of a person who can be contacted about this form: Contact Name and Phone Number American LegalNet, Inc. www.FormsWorkFlow.com INSTRUCTIONS This form is intended merely as a guide for filing and is not intended to cover all situations. Retain the original signed copy of this document for your records and submit a legible photocopy for filing with the Office of the Secretary of State. 1.003 Check the appropriate box for this conversion filing. 2.003 List the name of the organization that is converting, as it is immediately before the conversion. (Required) 3.003 List the Home Jurisdiction of Organization before the Conversion. 4.003 List the name that will be filed for the organization immediately after the conversion. (Required) 5.003 List the Home Jurisdiction of Organization after the Conversion. 6.003 List the time the Conversion is effective under the governing statute of the Converted Organization. 7.003 003 8. 9. 003 10. Email Address for Official Notices. This email address may be used to send annual renewal reminders and other important notices that may require action or response. Check the box if you wish to have your email address excluded from requests for bulk data, to the extent allowed by Minnesota law. List a name and daytime telephone number of a person who can be con tacted002 about this form. 002 002 002 002 Filing Fee: $55 for expedited service inperson, $35 if submitted by002 mail Payable to the MN Secretary of State FILE INPERSON OR MAIL TO: All of the information on this form is public. Minnesota law requires certain information to be provided for this type of filing. If that information is not included, your document may be returned unfiled. This document can be made available in alternative formats, such as large print, Braille or audio tape, by calling (651)2962803/voice. For a TTY/TTD (deaf and hard of hearing) communication, contact the Minnesota Relay Service at 18006273529 and ask them to place a call to (651)2962803. The Secretary of State's Office does not discriminate on the basis of race, creed, color, sex, sexual orientation, national origin, age, marital status, disability, religion, reliance on public assistance or political opinions or affiliations in employment or the provision of service. Minnesota Secretary of State 226 Business Services002 Retirement Systems of Minne sota Buildi ng 002 60 Empire Drive, Su ite 100 002 St Paul,MN 55103002 (Staffed 8 a.m.4 p.m., Mon 226 day 226 Frida y, excludin g holidays) 002 Phone Lines :(9 a.m. 226 4 p.m., MF) Metro Area 6512962803; Greater MN 18776767002 1.Must be signed on behalf of the converting company or Authorized Agent (The signing party must indicate on the docu men tthatth eyareacti ngasthe toftheperson(s) agenwhose urewouldbe signat required and thatthey have been authorized to sign on behalf of that person(s).) (Required) American LegalNet, Inc. www.FormsWorkFlow.com