Phone: (503) 986-2200 Fax: (503) 378-4381 Articles of ConversionBusiness Entities Secretary of State Corporation Division 255 Capitol St. NE, Suite 151 Salem, OR 97310-1327 FilingInOregon.com REGISTRY NUMBER : In accordance with Oregon Revised Statute 192.410-192.490, the informati on on this application is public record. We must release this information to all parties upon request and it will be posted on our website.r For office use only Please Type or Print Legibly in Black Ink. 1) NAME OF BUSINESS ENTITY PRIOR TO CONVERSION 2) TYPE OF BUSINESS ENTITY PRIOR TO CONVERSION 3) NAME OF BUSINESS ENTITY AFTER CONVERSION 4) TYPE OF BUSINESS ENTITY AFTER CONVERSION 5) A COPY OF THE PLAN OF CONVERSION IS ATTACHED . 6) PROVIDE ADDITIONAL INFORMATION REQUIRED FOR NEW ENTITY TYPE 7) EXECUTION Signature Printed Name Title 8) CONTACT NAME (To resolve questions with this filing.) DAYTIME PHONE NUMBER (Include area code.) FEES Required Processing Fee $50 Confirmation Copy (Optional) $5 Processing Fees are nonrefundable. Please make check payable to Corporation Division. NOTE: Fees may be paid with VISA or MasterCard. The card number and expiration date should be submitted on a separate sheet for your protection. 138 (Rev. 1/04)