State of New Hampshire Filing fee: $35.00 (SEE TOTAL FEES AT BOTTOM OF PAGE 2) Use black print or type. Form C-1 RSA 293-A:11.09 & RSA 304-C:17-a Form must be single-sided, on 8½” x 11” paper; double sided copies will not be accepted. CERTIFICATE OF CONVERSION OF A NEW HAMPSHIRE CORPORATION TO A NEW HAMPSHIRE LIMITED LIABILITY COMPANY PURSUANT TO THE PROVISIONS OF THE NEW HAMPSHIRE BUSINESS CORPORATION ACT AND THE NEW HAMPSHIRE LIMITED LIABILITY COMPANY STATUTES, THE UNDERSIGNED DOMESTIC CORPORATION SUBMITS THE FOLLOWING CERTIFICATE OF CONVERSION: FIRST: The corporation was formed in New Hampshire on (date) . SECOND: The name of the corporation immediately prior to the filing of this certificate: . THIRD: The name of the limited liability company as set forth in its certificate of formation: . FOURTH: The designation, number of outstanding shares and number of votes entitled to be cast by each voting group entitled to vote separately on the plan or the total number of undisputed votes cast for the plan separately by each voting group is as follows: Designation of voting group(s) Number of shares outstanding Total number of votes entitled to be cast Total number of votes cast FOR AGAINST OR Total number of undisputed votes cast FOR Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Form C-1 Page 1 CERTIFICATE OF CONVERSION Form C-1 (Cont.) FIFTH: The number of votes cast for the plan by each voting group was sufficient for approval by each voting group. SIXTH: The plan of conversion is on file at the principal place of business of the limited liability company at (business address) and a copy of the plan of conversion will be furnished by (name of limited liability company) on request and without cost, to any shareholder of (name of corporation) . (Corporate name) (Note 1) (Signature) (Print or type name) (Title) Date signed: Note 1: Signature and title of person signing for the corporation. Must be signed by chairman of the board of directors, president or other officer; or see RSA 293-A:1.20(f) for alternative signatures. DISCLAIMER: All documents filed with the Corporate Division become public records and will be available for public inspection in either tangible or electronic form. MAIL DATED AND SIGNED ORIGINAL WITH CERTIFICATE OF FORMATION OF NEW HAMPSHIRE LIMITED LIABILITY COMPANY (FORM LLC-1), FORM SRA AND TOTAL FEES OF $135.00 to: Corporate Division, Department of State, 107 North Main Street, Concord, NH 033014989. Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Form C-1 Page 2 [1/2009]