Instructions for Completing the Certificate of ... - CA.gov 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the exact name of the converted entity in Item 1. Ensure accuracy as this will be the official name.
3. In Item 2, specify the form of the converted entity (e.g., limited liability company, corporation).
4. For Item 3, indicate the jurisdiction where the converted entity is formed.
5. If applicable, provide the mailing address of the chief executive office in Item 4. Avoid using abbreviations for city names.
6. Complete Items 5 and 6 with street addresses as required, ensuring no P.O. Box addresses are included.
7. Designate an agent for service of process in Item 7a and provide their address in Items 7b and 7c if they are an individual.
8. Fill out Items 8 through 14 with details about the converting entity, including signatures as per statutory requirements.

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