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                                                                            Secretary of State 
                                                                Business Programs Division 
                                                                            Business Entities 
                                                   1500 11th Street, Sacramento, CA 95814 
                                               P.O. Box 944260, Sacramento, CA 94244-2600 

                                                   Submission Cover Sheet

For faster service, file online at bizfileOnline.sos.ca.gov               . 

Instructions: 

• Complete and include this form with your paper submission. This information only will be
  used to communicate in writing about the submission, if needed. This form will be
  treated as correspondence and will not be made part of the filed document.

• Make all checks or money orders payable to the Secretary of State.

• In person submissions (excluding Statements of Information): $15 handling fee; do not include
  a $15 handling fee when submitting documents by mail.

• Standard processing time for submissions to this office is approximately 5 business days from
  receipt. All submissions are reviewed in the date order of receipt with online submissions
  given priority. For updated processing time information, visit
  www.sos.ca.gov/business/be/processing-dates.

Optional Copy and Certification Fees: 

• If applicable, include optional certification fees with your submission.

• For applicable certification fee information, refer to the instructions of the specific form you are
  submitting.

Contact Person: (Please type or print legibly) 

First Name:                                      Last Name: 

Phone (optional):  

Entity Information: (Please type or print legibly) 

Name:  

Entity Number (if applicable):  

Address: 

Comments

Submission Cover Sheet (REV 03/2022)                            Clear Form  Print Form



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                                                                                     LLC-1A File #  

                         State of California
                            Secretary of State 

                       Limited Liability Company 
             Articles of Organization - Conversion 

                                                                                                            This Space For Filing Use Only 
Converted Entity Information 
1. Name of Limited Liability Company   (The name must include the words Limited Liability Company or the abbreviations LLC or L.L.C.  The words
    Limited and Company may be abbreviated to Ltd. and Co., respectively.)

2. The purpose of the limited liability company is to engage in any lawful act or activity for which a limited liability company may be organized
    under the California Revised Uniform Limited Liability Company Act.
3.  The limited liability company will be managed by (check only one):
        One Manager                                  More Than One Manager                             All Limited Liability Company Member(s) 
4. Initial Street Address of Limited Liability Company's Designated Office in CA            City                  State         Zip Code 
                                                                                                                          CA 
5. Initial Mailing Address of Limited Liability Company, if different from Item 4           City                  State         Zip Code 

6.  Initial Agent for Service of Process:  Item 6a: List the name of an individual or a corporation registered in CA under California  Corporations Code 
    section 1505 that agrees to be your agent for service of process.  You may not list the converted entity as the agent.  Item 6b: If the agent is an individual, 
    list the agent's CA business or residential street address. Item 6c: If the agent is an individual and the converting entity is a CA corporation, limited 
    partnership or general partnership, list the the agent's mailing address.  Do not list an address if the agent is a CA registered corporate agent as the 
    address for service of process is already on file. 
    a. Name of Agent For Service of Process

    b. If an individual, Street Address of Agent for Service of Process - Do not list a P.O. Box       City               State Zip Code
                                                                                                                           CA 
    c. If an individual, Mailing Address of Agent for Service of Process                               City               State Zip Code 

Converting Entity Information 
7. Name of Converting Entity

8. Form of Entity                          9. Jurisdiction                                      10. CA Secretary of State Entity Number, if any

11. The principal terms of the plan of conversion were approved by a vote of the number of interests or shares of each class that equaled or 
    exceeded the vote required.  If a vote was required, the following was required for each class: 
        The class and number of outstanding interests entitled to vote.              AND               The percentage vote required of each class. 

Additional Information 
12. Additional information set forth on the attached pages, if any, is incorporated herein by this reference and made part of this certificate.
13. I certify under penalty of perjury that the contents of this document are true.  I declare I am the person who executed this instrument, which 
    execution is my act and deed. 

    Signature of Authorized Person                                                Type or Print Name and Title of Authorized Person

    Signature of Authorized Person                                                Type or Print Name and Title of Authorized Person 
LLC-1A  (REV 03/2022)                                                                                             2022 California Secretary of State 
                                                                                                                          Clear Form           Print Form






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