FLORIDA DEPARTMENT OF STATE
DIVISION OF CORPORATIONS
Attached is a form to convert a “Florida Limited Liability Company” into an “Other
Business Entity” pursuant to section 605.1045, Florida Statutes. This form is 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 Fee: $25.00
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:
Registration Section Registration 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 Registration Section at (850) 245-6051.
Important Notice: As a condition of conversion, pursuant to s.605.0212(10), 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.
CR2E106 (05/17)
COVER LETTER
TO: Registration Section
Division of Corporations
SUBJECT:
Name of Florida Limited Liability Company
The enclosed Articles of Conversion and fee(s) are submitted to convert a Florida
Limited Liability Company” into an “Other Business Entity” 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 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:
$25.00 Filing Fee $30.00 Filing Fee $55.00 Filing Fee $60.00 Filing Fee,
and Certificate of and Certified Copy Certified Copy, and
Status Certificate of Status
Mailing Address: Street Address:
Registration Section Registration 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
CR2E106 (05/17)
Articles of Conversion
For
Florida Limited Liability Company
Into
Converted or Other Business Entity
The Articles of Conversion is submitted to convert the following Florida Limited
Liability Company into an “Other Business Entity” in accordance with s. 605.1045,
Florida Statutes.
1. The name of the Florida Limited Liability Company converting into the “Other
Business Entity” is:
.
Enter Name of Florida Limited Liability Company
2. The name of the “Converted or Other Business Entity” is:
.
Enter Name of “Converted or Other Business Entity”
3. The “Converted or Other Business Entity” is a
(Enter entity type. Example: corporation, limited partnership, sole proprietorship, general partnership, common law or
business trust, etc.)
organized, formed or incorporated under the laws of .
(Enter state, or if a non-U.S. entity, the name of the country)
The formation document is attached (if applicable).
4. The plan of conversion was approved by the converting Florida Limited Liability
Company in accordance with Chapter 605, F.S.
5. This conversion shall be effective in Florida on: .
(The effective date: 1) cannot be prior to nor more than 90 days after the date this document is filed by the Florida
Department of State; AND 2) must be the same as the effective date of the conversion under the laws governing the
“Other Business Entity.”)
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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6. If the “Converted or Other Business Entity” is an out-of-state entity not registered to
transact business in Florida, the “Converted or Other Business Entity”:
a.) Lists the following street and mailing address of an office the Florida
Department of State may send and process served on the department pursuant to
605.0117 and Chapter 48.
Street Address:
Mailing Address:
7. 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:
Must be signed by a Member or Authorized Representative
Printed Name: Title:
Fees: Filing Fee: $25.00
Certified Copy: $30.00 (Optional)
Certificate of Status: $5.00 (Optional)
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