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                                  FLORIDA DEPARTMENT OF STATE  
                                   DIVISION OF CORPORATIONS 
 
Attached is a form to convert an “eligible business entity” into a “Florida Profit Corporation” pursuant to section 
607.11933, Florida Statutes.  These forms are basic and may not meet all conversion needs.  The advice of an attorney is 
recommended. 
 
Filing Fees:                      $105  ($35 Conversion Fee and $70 for Florida  
                                        Profit Articles of Incorporation) 
 
Certified Copy (optional):        $8.75 
 
Certificate of Status (optional): $8.75 
 
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 Filings Section at (850) 245-6052. 
 
IMPORTANT INFORMATION: Pursuant to section 607.1622 (9), F.S., “As a condition of a conversion of an entity to a 
corporation under s. 607.11930, the entity, if it exists under the laws of this state or if it exists under the laws of another 
jurisdiction and has a certificate of authority to transact business or conduct its affairs in this state, must be active and 
current in filing its annual reports in the records of the department through December 31 of the calendar year in which the 
articles of conversion are submitted to the department for filing.” 
 
CR2E105 (1/20)

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                                                               COVER LETTER 
                                                                   
TO: New Filing Section 
    Division of Corporations 
 
SUBJECT:                                                                                                
                               Name of Resulting Florida Profit Corporation 
                                                                   
The enclosed Articles of Conversion, Articles of Incorporation, and fees are submitted to convert the following eligible 
entity into a “Florida Profit Corporation” in accordance with ss. 607.11933 & 607.0202, 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 notification) 
 
For further information concerning this matter, please call: 
 
                                                            at (   )                                    
                   Name of Contact Person                                  Area Code and Daytime Telephone Number 
 
Enclosed is a check for the following amount: 
 
☐ $105.00 Filing Fees ☐$113.75 Filing Fees                  ☐$113.75 Filing Fees ☐$122.50 Filing Fees, 
                      and Certificate of                    and Certified Copy   Certified Copy, and 
                      Status                                                     Certificate of Status 
 
    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

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Articles of Conversion
For
Converting Eligible Entity
Into
Florida Profit Corporation

The Articles of Conversion and attached Articles of Incorporation are submitted to convert the following eligible
business entity into a Florida Profit Corporation in accordance with ss. 607.11933 & 607.0202, Florida Statutes.

1. The name of the Converting Entity immediately prior to the filing of the Articles of Conversion is:

.
Enter Name of the Converting Entity

2. The converting entity is a
(Enter entity type. Example: limited liability company, 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 .
Enter date “Converting Entity” was first organized, formed or incorporated.

3. The name of the Florida Profit Corporation as set forth in the attached Articles of Incorporation:

.
Enter Name of Florida Profit Corporation

4. This conversion was approved by the eligible converting entity in accordance with this chapter and the laws of its
current/organic jurisdiction.

5. If not effective on the date of filing, enter the effective date: .
(The effective date: Cannot be prior to nor more than 90 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.

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Signed this      day of                                          , 20     . 
 
Required Signature for Florida Profit Corporation: 
 
Signature of Director, Officer, or, if Directors or Officers have not been selected, an Incorporator: 
 
Printed Name:                       Title:                                 
 
Required Signature(s) on behalf of Converting Florida partnerships, limited partnerships, and limited liability 
companies:  [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 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. 
 
If Florida Limited Liability Company: 
Signature of a Member or Authorized Representative. 
 
All others: 
Signature of an authorized person. 
 
Fees: 
      Articles of Conversion:                       $35.00 
      Fees for Florida Articles of Incorporation:   $70.00   
      Certified Copy:                               $8.75 (Optional) 
      Certificate of Status:                        $8.75 (Optional)

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                                                       ARTICLES OF INCORPORATION  
                         FOR RESULTING FLORIDA PROFIT CORPORATION 
                        In compliance with Chapter 607 and/or Chapter 621, F.S. (Profit) 
                                                                      
ARTICLE I       NAME 
The name of the corporation shall be:_____________________________________________________________ 
       
ARTICLE II      PRINCIPAL OFFICE 
The principal place of business/mailing address is: 
 
                             Principal street address                  Mailing address, if different is: 
____________________________________________                          ________________________________________ 
 
____________________________________________                          ________________________________________ 
 
____________________________________________                          ________________________________________ 
 
ARTICLE III      PURPOSE 
The purpose for which the corporation is organized is: 
  
_____________________________________________________________________________________________ 
 
_____________________________________________________________________________________________ 
 
_____________________________________________________________________________________________ 
 
_____________________________________________________________________________________________ 
 
_____________________________________________________________________________________________ 
 
_____________________________________________________________________________________________ 
 
ARTICLE IV    SHARES 
The number of shares of stock is: ________________________________________________________________ 
 
ARTICLE  V    OFFICERS AND/OR DIRECTORS 
 
Name and Title:_________________________________     Name and Title:________________________________ 
 
Address:           _________________________________      Address:           _________________________________ 
                       
             _________________________________                               _________________________________ 
 
Name and Title:_________________________________     Name and Title:________________________________ 
 
Address:           _________________________________      Address:           _________________________________ 
 
                         _________________________________                               _________________________________ 
 
Name and Title:_________________________________     Name and Title:________________________________ 
 
Address:           _________________________________      Address:           _________________________________ 
 
                         _________________________________                               _________________________________ 
             
                                                                 .

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ARTICLE            VI    REGISTERED AGENT 
The name and Florida street address (P.O. Box NOT acceptable) of the registered agent is: 
 
Name: __________________________________ 
       
Address:  __________________________________ 
                   
      __________________________________ 
 
******************************************************************************** 
Having been named as registered agent to accept service of process for the above stated corporation at the place designated in 
this certificate, I am familiar with and accept the appointment as registered agent and agree to act in this capacity 
 
       Required Signature/Registered Agent                      Date

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