FLORIDA DEPARTMENT OF STATE  
                                    DIVISION OF CORPORATIONS 
 
Attached is a form to convert an “Other Organization” into a “Florida Partnership” pursuant to section 
620.8914, Florida Statutes.  This form is basic and may not meet all conversion needs.  The advice of an 
attorney is recommended. 
 
Filing Fees:                        $75.00 ($25 for Certificate of Conversion and 
                                                      $50 for Florida Partnership Registration 
                                                      Statement) 
 
Certified Copy (optional):          $52.50 
 
Certificate of Status (optional):   $8.75 
 
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: 
Reinstatement Section                                 Reinstatement 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. 
 
CR2E117 (7/17) 

                                                            COVER LETTER 
                                                                
TO: Reinstatement Section 
    Division of Corporations 
 
SUBJECT:                                                                                                            
                             Name of Resulting Florida Partnership 
                                                                
The enclosed Certificate of Conversion, Partnership Registration Statement and fee(s) are submitted to 
convert an “Other Organization” into a Florida Partnership in accordance with s. 620.8914, F.S. 
 
Please return all correspondence concerning this matter to: 
 
                                             Contact Person 
 
                                             Firm/Company 
 
                                                   Address 
                                                                
                                      City, State and Zip Code 
 
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: 
 
☐ $75.00 Filing Fees   ☐ $83.75 Filing Fees                    ☐ $127.50 Filing Fees ☐ $136.25 Filing Fees, 
($25.00 for Conversion and Certificate of                      and Certified Copy    Certified Copy, and 
& $50.00 for Partnership)  Status                                                    Certificate of Status 
 
Mailing Address:                                                    Street Address: 
Reinstatement Section                                               Reinstatement 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 
 

                                     Certificate of Conversion 
                                          For 
                                     “Other Organization”  
                                          Into 
                                     Florida Partnership 
                                           
This Certificate of Conversion and attached Partnership Registration Statement are submitted to 
convert the following “Other Organization” into a Florida Partnership in accordance with s.620.8914, 
Florida Statutes. 
 
1.  The name of the “Other Organization” immediately prior to the filing of this Certificate of Conversion 
is: 
 
                                Enter Name of Other Organization 
 
2.  The “Other Organization” is a                                                                                   
                   (Enter entity type.  Example:  corporation, limited liability company,  
                      limited partnership, common law or business trust, etc.) 
                                           
first organized, formed or incorporated under the laws of                                                            
                      (Enter state, or if a non-U.S. entity, the name of the country) 
                                           
on                                                                                                                   
             (Enter date “Other Organization” was first organized, formed or incorporated) 
                                           
3.  The name of the Florida Partnership as set forth in the attached Partnership Registration Statement: 
 
                                     Enter Name of Florida Partnership 
 
4.  The conversion was approved as required by Chapter 620, F.S., and was approved in such a manner that 
complied with the converting organization’s governing law. 
 
Signed this                     day of                                 , 20                  
                                           
                                          Page 1 of 2 
 

Signature of a General Partner or Authorized Person for General Partnership: 
 
Signature:                                                                                 
 
Printed Name:                                                  Title:                      
 
Signature(s) on behalf of Other Business Entity:  [See below for required signature(s).] 
 
Signature:                                                                                 
 
Printed Name:                                                  Title:                      
 
Signature:                                                                                 
 
Printed Name:                                                  Title:                      
 
Signature:                                                                                 
 
Printed Name:                                                  Title:                      
 
Signature:                                                                                 
 
Printed Name:                                                  Title:                      
 
Signature:                                                                                 
 
Printed Name:                                                  Title:                      
 
Signature:                                                                                 
 
Printed Name:                                                  Title:                      
 
If Florida Corporation: 
Signature of Chairman, Vice Chairman, Director, or Officer.   
If Directors or Officers have not been selected, an Incorporator must sign. 
 
If Florida Limited Partnership or Limited Liability Limited Partnership: 
Signatures of ALL General Partners. 
 
If Florida Limited Liability Company: 
Signature of a Member or Authorized Representative. 
 
All others: 
Signature of an authorized person. 
 
Fees: 
       
      Partnership Registration Statement:                     $50.00 
      Certificate of Conversion:                              $25.00   
      Certified Copy:                                         $52.50 (Optional) 
      Certificate of Status:                                  $8.75 (Optional) 
 
                                           Page 2 of 2 

               PARTNERSHIP REGISTRATION STATEMENT 
 
1.                                                                                                           
                                    (Name of Partnership) 
 
2.                                                     3.                                                         
                (State/County of Formation)                                   (FEI Number) 
 
4.                                                                                                           
                              (Street Address of Chief Executive Office) 
 
5.                                                                                          
               
                   (Street Address of Principal Office in Florida, if applicable) 
 
6.  In accordance with s. 620.8105(1)(c)(1 & 2), Florida Statutes, required partner information is provided 
in one   of the following options: 
 
☐   Attached is a list of the names and mailing addresses of ALL partners and Florida Registration 
Numbers,      if other than individuals, or: 
     
☐   The name and street address of the agent in Florida who shall maintain a list of the names and 
addresses      of all partners:  
 
INDIVIDUAL NAME & FLORIDA                              IF OTHER THAN 
STREET ADDRESS OF                                      FLORIDA REGISTRATION 
FLORIDA AGENT                                          NUMBER                               
 
If any of the partners are other than individuals, its entity name and Florida Registration Number must be 
listed below: 
 
                Partner Entity Name                            Florida Document Number 
 
The execution of this statement as a partner constitutes an affirmation under the penalties of perjury that the 
facts stated herein are true. 
 
Signed this    day of                                                     ,                 
 
Signatures of TWO Partners:                                                                                  
 
Typed or printed names of partners signing above:                                           
 
                                Filing Fee:             $50.00 
 
                              Certified copy:          $52.50 (optional) 
 
                              Certificate of Status:   $  8.75 (optional) 
 
                                    Division of Corporations   
                                             P.O. Box 6327   
                                    Tallahassee, FL  32314