Form 800 "Certificate of Conversion for Entities Converting Into the Records of the Ohio Secretary of State" - Ohio

What Is Form 800?

This is a legal form that was released by the Ohio Secretary of State - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 1, 2019;
  • The latest edition provided by the Ohio Secretary of State;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 800 by clicking the link below or browse more documents and templates provided by the Ohio Secretary of State.

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Download Form 800 "Certificate of Conversion for Entities Converting Into the Records of the Ohio Secretary of State" - Ohio

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Toll Free: 877.767.3453 | Central Ohio: 614.466.3910
OhioSoS.gov
|
business@OhioSoS.gov
File online or for more information:
OhioBusinessCentral.gov
Filing Form Cover Letter
Please return the approval certificate to:
Name
(Individual or Business Name):
To the Attention of
(if necessary):
Address:
City:
State
ZIP Code:
Phone Number:
E-mail Address:
Check here if you would like to receive important notices via e-mail from the Ohio Secretary of State's office regarding
Business Services.
Check here if you would like to be signed up for our Filing Notification System for the business entity being created or
updated by filing this form. This is a free service provided to notify you via e-mail when any document is filed on your
business record.
Please make checks or money orders payable to: "Ohio Secretary of State"
Type of Service Being Requested: (PLEASE CHECK ONE BOX BELOW)
Regular Service: Only the filing fee listed on page one of the form is required and the filing will be
processed in approximately 3-7 business days. The processing time may vary based on the volume of
filings received by our office.
Expedite Service 1: By including an Expedite fee of $100.00, in addition to the regular filing fee on page
one of the form, the filing will be processed within 2 business days after it is received by our office.
Expedite Service 2: By including an Expedite fee of $200.00, in addition to the regular filing fee on page
one of the form, the filing will be processed within 1 business day after it is received by our office.
This
service is only available to walk-in customers who hand deliver the document to the Client Service Center.
Expedite Service 3: By including an Expedite fee of $300.00, in addition to the regular filing fee on page
one of the form, the filing will be processed within 4 hours after it is received by our office, if received by 1:00
p.m.
This service is only available to walk-in customers who hand deliver the document to the Client Service Center.
Preclearance Filing: A filing form, to be submitted at a later date for processing, may be submitted to be
examined for the purpose of advising as to the acceptability of the proposed filing for a fee of $50.00. The
Preclearance will be complete within 1-2 business days.
Last Revised: 06/2019
Form 800
Page 1 of 4
Toll Free: 877.767.3453 | Central Ohio: 614.466.3910
OhioSoS.gov
|
business@OhioSoS.gov
File online or for more information:
OhioBusinessCentral.gov
Filing Form Cover Letter
Please return the approval certificate to:
Name
(Individual or Business Name):
To the Attention of
(if necessary):
Address:
City:
State
ZIP Code:
Phone Number:
E-mail Address:
Check here if you would like to receive important notices via e-mail from the Ohio Secretary of State's office regarding
Business Services.
Check here if you would like to be signed up for our Filing Notification System for the business entity being created or
updated by filing this form. This is a free service provided to notify you via e-mail when any document is filed on your
business record.
Please make checks or money orders payable to: "Ohio Secretary of State"
Type of Service Being Requested: (PLEASE CHECK ONE BOX BELOW)
Regular Service: Only the filing fee listed on page one of the form is required and the filing will be
processed in approximately 3-7 business days. The processing time may vary based on the volume of
filings received by our office.
Expedite Service 1: By including an Expedite fee of $100.00, in addition to the regular filing fee on page
one of the form, the filing will be processed within 2 business days after it is received by our office.
Expedite Service 2: By including an Expedite fee of $200.00, in addition to the regular filing fee on page
one of the form, the filing will be processed within 1 business day after it is received by our office.
This
service is only available to walk-in customers who hand deliver the document to the Client Service Center.
Expedite Service 3: By including an Expedite fee of $300.00, in addition to the regular filing fee on page
one of the form, the filing will be processed within 4 hours after it is received by our office, if received by 1:00
p.m.
This service is only available to walk-in customers who hand deliver the document to the Client Service Center.
Preclearance Filing: A filing form, to be submitted at a later date for processing, may be submitted to be
examined for the purpose of advising as to the acceptability of the proposed filing for a fee of $50.00. The
Preclearance will be complete within 1-2 business days.
Last Revised: 06/2019
Form 800
Page 1 of 4
Form 800 Prescribed by:
Mail this form to one of the following:
Toll Free: 877.767.3453
Regular Filing (non expedite)
Central Ohio: 614.466.3910
P.O. Box 1329
Columbus, OH 43216
OhioSoS.gov
Expedite Filing (Two business day processing time.
business@OhioSoS.gov
Requires an additional $100.00)
P.O. Box 1390
File online or for more information:
OhioBusinessCentral.gov
Columbus, OH 43216
For screen readers, follow instructions located at this path.
Certificate of Conversion for Entities Converting Into the
Records of the Ohio Secretary of State
Filing Fee: $99
Form Must Be Typed
Name of Converting Entity
Jurisdiction of Formation
The converting entity:
(Check Only (1) One Box)
Partnership
Foreign Nonprofit Limited Liability Company
Foreign Limited Partnership
Foreign For-Profit Limited Liability Company
Common Law Trust
Foreign Limited Liability Partnership
Foreign Corporation
Other
The converting entity hereby states it has complied with all laws of its jurisdiction of formation.
Furthermore, the law permits for the conversion.
Name of the Converted Entity
Existing under the laws of
OH
The converted business entity type is
(Check One)
Business Trust
Partnership
Domestic Corporation (For-Profit)
Domestic Limited Partnership
Domestic Nonprofit Limited Liability Company
Domestic For-Profit Limited Liability Company
Domestic Limited Liability Partnership
Last Revised: 06/2019
Form 800
Page 2 of 4
Effective Date (Optional)
MM/DD/YYYY
This conversion is effective on
(If a date is specified, the date must be a date
on or after the date of the filing. If no date is specified, the date of filing will be the effective date of the conversion).
The name and address of the person or entity that will provide a copy of the declaration of conversion
upon written request
Print Name
Mailing Address
State
Zip Code
City
If the conversion creates a new domestic corporation, limited liability company, partnership, limited partnership,
or a limited liability partnership, complete and attach the formation documents prescribed by the secretary of state
for the specific entity type being created.
By signing and submitting this form to the Ohio Secretary of State, the undersigned hereby certifies that he or she
has the requisite authority to execute this document.
Required
Must be signed by an
Signature
authorized representative.
By (if applicable)
Print Name
Signature
By (if applicable)
Print Name
Last Revised: 06/2019
Form 800
Page 3 of 4
Instructions for Certificate of Conversion for Entities Converting INTO the
Records of the Secretary of State
This form should be used to file a certificate of conversion to document that an entity converted
into the records of the Ohio Secretary of State.
Converting Entity Information
Pursuant to Ohio Revised Code §§1701.811, §1705.381, §1776.72 and §1782.4310, the
certificate of conversion must set forth the name of the converting entity, its jurisdiction of formation
and the form of the converting entity (for example, corporation, limited liability company, etc). Also the
authorized representative signing the certificate is agreeing to the statement that the converting entity
has complied with all of the laws under which it exists and that the laws permit the conversion.
Converted Entity Information
You must state the name of the converted (resulting) entity, the jurisdiction under the laws of
which the converted entity exists, and the form of the converted entity.
Effective Date
An effective date may be provided but is not required. The conversion is effective upon filing of the
certificate of conversion or on a later date specified in the certificate. Please note, if the date provided
precedes the date of filing, the effective date will be the date of filing.
Name and Mailing Address
Provide the name and mailing address of a person or entity that is to provide a copy of the
declaration of conversion in response to any written request made by a shareholder, partner, or
member of the converting entity.
Additional Requirements
Pursuant to Ohio Revised Code §§1701.811, §1705.381, §1776.72 and §1782.4310, in the case of a
conversion into a new domestic corporation, limited liability company, limited partnership, or other
partnership, any formation documents that would be filed upon the creation of the converted entity
shall be filed with the certificate of conversion. For example, if a new corporation is created through
the conversion, Articles of Incorporation must be filed with the Certificate of Conversion. There is no
additional fee to file the formation documents.
Additional Provisions
If the information you wish to provide for the record does not fit on the form, please attach additional
provisions on a single-sided, 8 1/2 x 11 sheet(s) of paper.
Signature(s)
After completing all information on the filing form, please make sure that the form is signed by at least
one authorized representative on behalf of the converting entity. The authorized representative
is signing a statement that the declaration of conversion is authorized on behalf of the converting
entity and that each person signing the certificate on behalf of the converting entity is authorized
to do so. Please include the title of each authorized representative beneath the signature line.
** Note: Our office cannot file or record a document that contains a social security
number or tax identification number. Please do not enter a social security number or
tax identification number, in any format, on this form.
Last Revised: 06/2019
Form 800
Page 4 of 4