FLORIDA DEPARTMENT OF STATE  
                                      DIVISION OF CORPORATIONS 
                                                  
Attached is a form to convert an “Other Business Entity” into a “Florida Limited Liability Company” pursuant 
to section 605.1045, Florida Statutes.  These forms are basic and may not meet all conversion needs.  The 
advice of an attorney is recommended. 
 
Pursuant to s. 605.0102(23)a, F.S., entity means: a business corporation, a nonprofit corporation, a general 
partnership, including a limited liability partnership, including a limited partnership, including a limited liability 
limited partnership; a limited liability company; a real estate investment trust; or any other domestic or foreign 
entity that is organized under an organic law.  
 
Filing Fees:                        $150.00 ($25 for Articles of Conversion and 
                                              $125 for Articles of Organization) 
 
Certified Copy (optional):          $30.00 
 
Certificate of Status (optional):   $5.00 
 
Send one check in the total amount payable to the Florida Department of State. 
 
Please include a cover letter containing your telephone number, return address and certification requirements, or 
complete the attached cover letter. 
 
 Mailing Address:                                 Street Address: 
 New Filing Section                               New Filing Section 
 Division of Corporations                         Division of Corporations 
 P.O. Box 6327                                    The Centre of Tallahassee 
 Tallahassee, FL 32314                            2415 N. Monroe Street, Suite 810 
                                                  Tallahassee, FL 32303 
 
For further information, you may contact the New Filing Section at (850) 245-6052. 
 
Important Notice: As a condition to the conversion, pursuant to s.605.0212(9), F.S., each party to the conversion must be active 
and current through December 31 of the calendar year this document is being submitted to the Department of State for filing. 
 
INHS11 (7/17) 
 

                                                                  COVER LETTER 
                                                                        
TO: New Filing Section 
    Division of Corporations 
 
SUBJECT:                                                                                                                
                                                             (Name of Resulting Florida Limited Company) 
                                                                        
The enclosed Articles of Conversion, Articles of Organization, and fees are submitted to convert an “Other 
Business Entity” into a “Florida Limited Liability Company” in accordance with s. 605.1045, F.S. 
 
Please return all correspondence concerning this matter to: 
 
                                             (Contact Person) 
 
                                             (Firm/Company) 
 
                                                   (Address) 
                                                                        
                                      (City, State and Zip Code) 
 
      E-mail Address: (to be used for future annual report notifications) 
 
For further information concerning this matter, please call: 
 
                                                                 at (     )                                             
               (Name of Contact Person)                                      (Area Code)    (Daytime Telephone Number) 
 
Enclosed is a check for the following amount: (All checks processed by this office must be payable in US 
dollars and drawn on a bank located in the United States) 
 
 $150.00 Filing Fees  $155.00 Filing Fees                      $180.00 Filing Fees $185.00 Filing Fees, 
($25 for Conversion    and Certificate of                        and Certified Copy   Certified Copy, and 
& $125 for Articles    Status                                                         Certificate of Status 
of Organization) 
 
    Mailing Address:                                                      Street Address: 
    New Filing Section                                                    New Filing Section 
    Division of Corporations                                              Division of Corporations 
    P.O. Box 6327                                                         The Centre of Tallahassee 
    Tallahassee, FL 32314                                                 2415 N. Monroe Street, Suite 810 
                                                                          Tallahassee, FL 32303 
 
INHS11 (7/17) 
                                                                        

                                           Articles of Conversion 
                                                                For 
                                           “Other Business Entity”  
                                                                Into 
                                   Florida Limited Liability Company 

The Articles of Conversion and attached Articles of Organization are submitted to convert the following 
“Other Business Entity” into a Florida Limited Liability Company in accordance with s.605.1045, Florida 
Statutes. 

1. The name of the “Other Business Entity” immediately prior to the filing of the Articles of Conversion is:
                                                                                          . 
                                 (Enter Name of Other Business Entity) 

2. The “Other Business Entity” is a
           (Enter entity type.  Example:  corporation, limited partnership, general partnership, common law or business trust, etc.) 

First organized, formed or incorporated under the laws of 
                                                                  (Enter state, or if a non-U.S. entity, the name of the country) 

on                                                       . 
       (date of organization, formation or incorporation) 

3. The name of the Florida Limited Liability Company as set forth in the attached Articles of Organization:

                                                                                          . 
                          (Enter Name of Florida Limited Liability Company) 

4. If not effective on the date of filing, enter the effective date:                      .
(The effective date:   Cannot be prior to date of receipt or filed date nor more than 90 calendar days after
the date this document is filed by the Florida Department of State.)
Note:  If the date inserted in this block does not meet the applicable statutory filing requirements, this date will not be listed as the 
document’s effective date on the Department of State’s records. 

5. The plan of conversion has been approved in accordance with all applicable statutes.

6. The “Converted or Other Business Entity” has agreed to pay any members having appraisal rights the amount to
   which such members are entitled under ss. 605.1006 and 605.1061-605.1072, F.S.

Signed this       day of                          20             . 
 
Signature of Authorized Representative of Limited Liability Company: 
 
Signature of Authorized Representative:                                      
Printed Name:                                     Title:                                  
 
Signature(s) on behalf of Other Business Entity:  [See below for required signature(s)]  
 
Signature:                                                                                
Printed Name:                                     Title:                                  
 
Signature:                                                                                
Printed Name:                                     Title:                                  
 
Signature:                                                                                
Printed Name:                                     Title:                                  
 
Signature:                                                                                
Printed Name:                                     Title:                                  
 
Signature:                                                                                
Printed Name:                                     Title:                                  
 
Signature:                                                                                
Printed Name:                                     Title:                                  
 
If Florida Corporation: 
Signature of Chairman, Vice Chairman, Director, or Officer.   
If Directors or Officers have not been selected, an Incorporator must sign. 
 
If Florida General Partnership or Limited Liability Partnership: 
Signature of one General Partner. 
 
If Florida Limited Partnership or Limited Liability Limited Partnership: 
Signatures of ALL General Partners. 
 
All others: 
Signature of an authorized person. 
 
Fees: 
 
      Articles of Conversion:                    $25.00 
      Fees for Florida Articles of Organization: $125.00          
      Certified Copy:                            $30.00 (Optional) 
      Certificate of Status:                     $5.00 (Optional) 
 

                  ARTICLES OF ORGANIZATION FOR FLORIDA LIMITED LIABILITY COMPANY 
    
   ARTICLE I - Name: 
   The name of the Limited Liability Company is: 
    
                                     (Must contain the words “Limited Liability Company, “L.L.C.,” or “LLC.”) 
    
   ARTICLE II - Address: 
   The mailing address and street address of the principal office of the Limited Liability Company is: 
    
   Principal Office Address:                                    Mailing Address: 
    
   ARTICLE III - Registered Agent, Registered Office, & Registered Agent’s Signature: 
   (The Limited Liability Company cannot serve as its own Registered Agent. You must designate an individual or another 
     business entity with an active Florida registration.) 
    
   The name and the Florida street address of the registered agent are: 
    
                                                           Name 
                            
              Florida street address (P.O. Box NOT                        acceptable) 
                            
                                                                    FL                  
                              City                                        Zip 
                                                                  
     Having been named as registered agent and to accept service of process for the above stated limited 
         liability company at the place designated in this certificate, I hereby accept the appointment as 
     registered agent and agree to act in this capacity.  I further agree to comply with the provisions of all 
     statutes relating to the proper and complete performance of my duties, and I am familiar with and 
         accept the obligations of my position as registered agent as provided for in Chapter 605, F.S.. 
                                                              
                           Registered Agent’s Signature (REQUIRED) 
                                                                   
                                (CONTINUED) 
     

           ARTICLE IV-  
           The name and address of each person authorized to manage and control the Limited Liability 
           Company: 
            
           Title:                                 Name and Address: 
           "AMBR" = Authorized Member 
           "MGR" = Manager 
                                                                                                          
           (Use attachment if necessary) 
            
   ARTICLE V: Other provisions, if any. 
                                                                                                                                 
           REQUIRED SIGNATURE: 
 
                    Signature of a member or an authorized representative of a member 
            This document is executed in accordance with section 605.0203 (1) (b), Florida Statutes. I am aware that  
            any false information submitted in a document to the Department of State constitutes a third degree felony 
            as provided for in s.817.155, F.S. 
                                                    
                                                Typed or printed name of signee 
                                                                                     Filing Fees 
            $125.00 Filing Fee for Articles of Organization and Designation of Registered Agent 
            $  30.00 Certified Copy (Optional)                                       $    5.00 Certificate of Status (Optional)