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-1364 looks like.
DOS-1364 (9/98)
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(e)(B) of the Limited Liability Company Law
FIRST: The name of the limited liability company is:
_____________________________
SECOND: The date of filing of its articles of organization is:
_____________________________
THIRD: 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.)
FOURTH: The name of the (partnership/limited partnership) is:
_____________________. In the case of a limited partnership, the date its initial certificate of limited partnership was filed by the Department of State 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(e)(B) of the Limited Liability Company Law
Filed by: ____________________________________ (Name)
____________________________________ (Mailing address)
____________________________________ (City, State and ZIP code)