Certificate of Conversion (New York)
This is a certificate of conversion of a partnership to a limited liability company in New York. The form provided here is simply a sample of what the actual Form DOS-1363 looks like.
DOS-1363 (01/00)
NYS Department of State
Division of Corporations, State Records and UCC
41 State Street, Albany, NY 12231-0001
www.dos.state.ny.us
CERTIFICATE OF CONVERSION
OF
_____________________________ (Insert name of Partnership/Limited Partnership)
TO
_____________________________ (Insert name of Limited Liability Company)
Under Section 1006 of the Limited Liability Company Law
FIRST: The name of the limited liability company is:
_____________________________
SECOND: The (partnership/limited partnership) was, in accordance with the provisions of the Limited Liability Company Law, duly converted to a limited liability company. (Please note: The conversion of a limited partnership to a limited liability company does not become effective until a certificate of cancellation is filed for the limited partnership. See LLCL §1006(f)(g) and PL §121-203.)
THIRD: The name of the (partnership/limited partnership) was:
_____________________________. In the case of a limited partnership, the date its initial certificate of limited partnership was filed by the Department of State is
_____________________________
FOURTH: The county within this state in which the office of the limited liability company is to be located
is: _____________________________
FIFTH: The Secretary of State is designated as the agent of the limited liability company upon whom process against it may be served. The address within or without this state to which the Secretary of State shall mail a copy of process against the limited liability company served upon him or her
is: _____________________________
____________________________________ (Signature)
____________________________________ (Type or print name)
____________________________________ (Title or capacity of signer)
CERTIFICATE OF CONVERSION
OF
_____________________________ (Insert name of Partnership/Limited Partnership)
TO
_____________________________ (Insert name of Limited Liability Company)
Under Section 1006 of the Limited Liability Company Law
Filed by: ____________________________________ (Name)
____________________________________ (Mailing address)
____________________________________ (City, State and ZIP code)