Form SS-4269 is a document used to apply for employer identification number (EIN) from the Internal Revenue Service (IRS). An EIN is a nine digit number that is issued by the IRS to identify a business entity. The form can be downloaded from the IRS website, or you can request it by mail. Completed applications should be mailed to the IRS Center for Business and Specialty Forms. There is no fee to apply for an EIN.
Question | Answer |
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Form Name | Form Ss 4269 |
Form Length | 1 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 15 sec |
Other names | ss 4269 certificate of conversion form |
CERTIFICATE OF CONVERSION (LLC into another Business Entity)
Corporate Filings
312 Rosa L. Parks Ave.
6th Floor, William R. Snodgrass Tower
Nashville, TN 37243
For Offi ce Use Only
Pursuant to the provisions of
1. The current name of the of the domestic limited liability company (hereinafter referred to as the domestic
LLC) is: |
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If different, the name of the domestic LLC under which its articles of organization were originally filed is:
.
2.The date of fi ling of the original articles of organization of the domestic LLC was: (month/day/year).
3.The name of the other business entity into which the domestic LLC is to be converted is
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, its jurisdiction of formation is |
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, and its |
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business type is a |
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4.All required approvals of the conversion have been obtained by the domestic limited liability company.
5.If the conversion is not to be effective upon the filing of the certificate of conversion, then the future effective date or time of the conversion is:
Date: |
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, |
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Time |
6.The following box must be checked and the mailing address provided if the domestic LLC is converting to a foreign entity:
The foreign entity agrees that it may be served with process in this State in any proceeding for the enforce- ment of any obligation of the domestic LLC arising prior to the date of the conversion, irrevocably appointing the Secretary of State as its agent to accept service of process in any such proceeding. The address (includ- ing zip code) to which a copy of such process shall be mailed to it by the Secretary of State is:
.
Signature date |
Signature |
Signer’s capacity |
Name (typed or printed) |
Filing Fee $20 |
RDA 2458 |
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