Instructions: SS-9422 1 | Page Instructions: Form SS-9422 Certificate of Conversion (Limited Partnership into another Business Entity) Business Services Division Tre Hargett, Secretary of State State of Tennessee Submission Options A Certificate of Conversion of a Limited Partnership (Limited Partnership into another Business Entity) form may be filed using one of the following methods: Paper submission: A blank form may be obtained by going to sos.tn.gov and entering SS-9422 in the search bar; by emailing the Secretary of State222s Office at TNSOS.CORPINFO@TN.GOV , or by calling (615) 741-2286. The form should be typed or hand printed in dark blue or black ink. Walk-in: A blank form may be obtained in person at the Secretary of State222s Office at the address listed below. Send the completed form and filing fee together in the same envelope. Mail to: Tennessee Secretary of State ATTN: Corporate Filing 312 Rosa L. Parks Ave FL 6 Nashville TN 37243 Completing the Form Follow the instructions and complete the form very carefully. Be sure it is legible as mistakes may have important legal consequences. If you have questions, consult your attorney. The filing office cannot provide legal advice. 1. Tennessee Secretary of State Control Number for the Limited Partnership: A control number is assigned to each entity on record with the Tennessee Secretary of State222s Division of Business Services. To find entity information, including the Secretary of State control number, visit: https://tnbear.tn.gov/ECommerce/FilingSearch.aspx 2. The Limited Partnership Name is: Enter the exact legal name of the converting Limited Partnership as listed on the records of the Tennessee Secretary of State. To find entity information, visit: https://tnbear.tn.gov/ECommerce/FilingSearch.aspx . American LegalNet, Inc. www.FormsWorkFlow.com Instructions: SS-9422 2 | Page Jurisdiction of formation of the Limited Partnership: Enter the state where the Limited Partnership was formed. 3. The name of the business entity into which the domestic Limited Partnership is to be converted is: Enter the exact legal name of the new converted business entity. Jurisdiction of formation of the Limited Partnership: Enter the state where the converted survivor business entity was formed. 4. The type of business entity that the survivor entity will be: Check the box indicating the type of business entity of the survivor entity. 5. If the converting Limited Partnership was formed in Tennessee, please confirm that the plan of entity conversion was duly approved in accordance with 247 61-3-1112 226 247 61-3-1115: By checking the box, you are confirming that the Conversion Plan was duly approved pursuant to T.C.A. 247 61-3-1112 226 247 61-3-1115. If the converting Limited Partnership was formed outside of Tennessee, please confirm that the conversion was approved by the Foreign Limited Partnership in accordance with the law of its jurisdiction of formation: By checking the box, you are confirming that the Foreign Limited Partnership approved the conversion in accordance with the law of the state in which the Foreign Limited Partnership was formed. 6. Effective Date: If the conversion is not to be effective upon the filing of the Certificate of Conversion by the Secretary of State222s Office, then the future effective date and time of the conversion is: Enter the future effective date and time of the conversion if applicable. A delayed effective date may not be later than ninety (90) calendar days from the filing of the Certificate of Conversion. 7. If the survivor business entity is being filed with the Tennessee Secretary of State, attach the filing record of the new, converted entity: If the new, survivor business entity is transacting business in Tennessee or is a business entity formed in Tennessee, it must register with the Tennessee Secretary of State222s Division of Business Services. Attach the filing record of the new, converted entity along with the appropriate filing fee. All initial filing forms can be found on the Tennessee Secretary of State222s Division of Business Services website http://tnbear.tn.gov/business-services/limited- partnership , or you may call our office at 615-741-2286 with questions. Signature Sign and date the form, print or type the signature name and list your capacity to sign on behalf of the Limited Partnership. The Certificate of Conversion of a Limited Partnership form must be signed by at least one (1) general partner of the Converting Limited Partnership. American LegalNet, Inc. www.FormsWorkFlow.com Instructions: SS-9422 3 | Page Filing Fee The filing fee is $20.00 per Certificate of Conversion of a Limited Partnership form. If registering the converted business entity with the Tennessee Secretary of State, you will also be required to pay the required filing fee for that document as well. Make check, cashier222s check or money order payable to the Tennessee Secretary of State. Cash is only accepted for walk-in filings. Forms submitted without the proper filing fee or made payable to an entity other than the Tennessee Secretary of State will be rejected. American LegalNet, Inc. www.FormsWorkFlow.com en-USSS-9422 (Rev.01/18)en-USAll information on this form is public record.en-USRDA 2135en-USPursuant to the provisions of T.C.A. 247 61-3-1114 of the Tennessee Uniform Limited Partnership Act of en-US en-US1. Control Number: en-US en-US2. The Limited Partnership Name is: en-US en-USand its jurisdiction of formation is:en-US3. The name of the business entity into which the domestic Limited Partnership is to be converted is:en-US en-USand its jurisdiction of formation is:en-US en-US4. The type of business entity that the survivor will be (check one): 5. The converting Limited Partnership was formed in Tennessee and the plan of entity conversion þ en-US was duly approved pursuant to T.C.A. 247 61-3-1112 - 247 61-3-1115.en-US en-USThe converting Limited Partnership was formed outside of Tennessee and the conversion was en-USapproved by the Foreign Limited Partnership in accordance with the law of its jurisdiction of en-USformation. þ en-US þ þ en-US / þ en-US / þ þ Month þ Day þ Year en-USTimeen-US en-US en-USGeneral Partnership en-USLimited Liability Company en-USBusiness Trust en-USJoint Stock Association en-US en-USOther: en-USDateen-USSignature en-USTitle/Signer222s Capacity en-USPrinted Name en-USLimited Liability Partnership Tre Hargett en-USSecretary of Stateen-USDivision of Business Servicesen-USDepartment of Stateen-USState of Tennesseeen-USATTN: Corporate Filingen-US312 Rosa L. Parks Ave, 6th FLen-USNashville, TN 37243-1102en-US(615) 741-2286en-USen-USSS-9422 en-USFiling Fee: $20.00 en-USLIMITED PARTNERSHIP CONVERSION (LP into another Businesss Entity) en-USPhone #: () en-US-en-USSubmitter Name: en-USen-USSecretary of State.en-US en-USDomestic Limited Partnership American LegalNet, Inc. www.FormsWorkFlow.com