Instructions: Combined Statement of Conversion

Terms

The following terms are used in these instructions.

Resulting entity: a resulting entity is the entity that is produced after the Statement of Conversion is filed.

Converting entity: a converting entity transitions their entity type.

 

Instructions (entity is on file with our office)

Resulting entity name availability search

If the resulting entity name is not the same as the converting entity name, enter the exact name you want to use in Colorado, including any applicable designator such as "Inc.", "LLC", etc. Caution: The resulting entity name field may be pre-filled. You may change this information.

 

ID number

This field is pre-filled with the entity information in the records of the Colorado Secretary of State. This information cannot be changed by filing this document.

 

Resulting entity name, form, and jurisdiction

These fields are all pre-filled with the entity information in the records of the Colorado Secretary of State. This information cannot be changed by filing this document.

 

Converting entity name, form, and jurisdiction

These fields are all pre-filled with the entity information in the records of the Colorado Secretary of State. This information cannot be changed by filing this document.

 

Principal office street address

A principal office street address is required. The street address must be a physical address and cannot be a post office box.

Provide the street name and number, including the suite, unit or apartment number, if applicable. The city, state and ZIP/postal code must also be provided. Any address outside of the United States must include the country and, if applicable, the province.

Example: 123 N. Main Street, Apt 101
               Denver, Colorado 80202

 

Principal office mailing address

A mailing address is optional. If the mailing address is different than the street address, or mail cannot be delivered to the street address, provide the address, including the city, state and ZIP/postal code where mail is to be delivered. Any address outside of the United States must include the country and, if applicable, the province.

Example: P.O. Box 854
               Lakewood, Colorado 80228

 

Statement regarding conversion

A statement is required that the converting entity has been converted into the resulting entity. [1]

 

Additional information

Select “Yes” if additional information is permitted or required by law to be included in the document. You will be able to attach documents before you complete your filing. Information regarding attachments

 

 Submit

Selecting the Submit button will navigate to the appropriate filing. Further instructions can be found on the Business Forms List for that filing.

 

Instructions (entity is not on file with our office)

Resulting entity name availability search

If the resulting entity name is not the same as the converting entity name, enter the exact name you want to use in Colorado, including any applicable designator such as "Inc.", "LLC", etc. Caution: The resulting entity name field may be pre-filled. You may change this information.

 

Resulting entity name, form, and jurisdiction

These fields are all pre-filled with the entity information in the records of the Colorado Secretary of State. This information cannot be changed by filing this document.

 

True name

Provide the true name of the resulting entity. [2]

 

Form

Select the form of the entity from the drop-down list. If the form does not appear in the drop-down list, select “Other”, and enter the form of entity in the field provided. Refer to the glossary for definitions of each form type.

Caution: A sole proprietor(ship) is not a recognized form of entity. [3]

 

Jurisdiction

Select the jurisdiction under the law of which the entity is formed. If the jurisdiction does not appear in the drop-down list, select “Other” and enter the jurisdiction in the field provided.

The term ‘foreign’ defines any entity formed outside the state of Colorado. This is a term commonly used by all states to identify entities formed outside of their state.

 

Principal office street address

A principal office street address is required. The street address must be a physical address and cannot be a post office box.

Provide the street name and number, including the suite, unit or apartment number, if applicable. The city, state and ZIP/postal code must also be provided. Any address outside of the United States must include the country and, if applicable, the province.

Example: 123 N. Main Street, Apt 101
               Denver, Colorado 80202

 

Principal office mailing address

A mailing address is optional. If the mailing address is different than the street address, or mail cannot be delivered to the street address, provide the address, including the city, state and ZIP/postal code where mail is to be delivered. Any address outside of the United States must include the country and, if applicable, the province.

Example: P.O. Box 854
               Lakewood, Colorado 80228

 

Statement regarding conversion

A statement is required that the converting entity has been converted into the resulting entity. [4]

 

Additional information

Select “Yes” if additional information is permitted or required by law to be included in the document. You will be able to attach documents before you complete your filing. Information regarding attachments

 

Submit

Selecting the Submit button will navigate to the appropriate filing. Further instructions can be found on the Business Forms List for that filing.

 

Note

Review the form carefully; mistakes may have legal consequences. Our office cannot provide legal advice. Questions should be addressed to your legal, business, or tax advisor(s). Only provide information that is required or permitted to be included in the document. Information included in the document must be in English, and must state the name and address of at least one individual causing the document to be delivered for filing.

Statement of Conversion filed pursuant to § 7-90-201.7 (3) of the Colorado Revised Statutes (C.R.S.).

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[1] | 7-90-201.7, C.R.S.
[2] | 7-90-601, C.R.S. 
[3] | 7-90-102 (13) and (23), C.R.S. 
[4] | 7-90-201.7, C.R.S.