EX-3.1(C) 3 d509976dex31c.htm EX-3.1(C) EX-3.1(c)

Exhibit 3.1(c)

 

LOGO

 

CERTIFICATE OF CONVERSION FOR ENTITIES CONVERTING

WITHIN OR OFF THE RECORDS OF THE OHIO SECRETARY OF STATE

Filing Fee: $125

(CHECK ONLY ONE (1) BOX)

(1)   x    Converting Within The Records of the  Ohio
Secretary of State
   (2)  ¨   

Converting Off The Records of the Ohio
Secretary of State

(187-VXX)

 

Name of the converting entity: AMRESCO INC.                            

Jurisdiction of Formation: Ohio                                    

Charter/Registration Number: 484505                

The converting entity is a:

(Check Only (1) One Box)

  x Domestic Corporation
  ¨ Foreign Corporation
  ¨ Domestic Nonprofit Limited Liability Company
  ¨ Foreign Nonprofit Limited Liability Company
  ¨ Domestic For-Profit Limited Liability Company
  ¨ Foreign For-Profit Limited Liability Company
¨ Partnership
¨ Domestic Limited Partnership
¨ Foreign Limited Partnership
¨ Domestic Limited Liability Partnership
¨ Foreign Limited Liability Partnership
¨ Business Trust
 

 

The converting entity hereby states that it has complied with all laws in the jurisdiction under which it exists and that those laws permit the conversion.

[SEAL]

 

Name of the converted entity: AMRESCO, LLC                            

Jurisdiction of Formation: Ohio                                    

The converted entity is a:

(Check Only (1) One Box)

  ¨ Domestic Corporation
  ¨ Foreign Corporation
  ¨ Domestic Nonprofit Limited Liability Company
  ¨ Foreign Nonprofit Limited Liability Company
  x Domestic For-Profit Limited Liability Company
  ¨ Foreign For-Profit Limited Liability Company
¨ Partnership
¨ Domestic Limited Partnership
¨ Foreign Limited Partnership
¨ Domestic Limited Liability Partnership
¨ Foreign Limited Liability Partnership
¨ Business Trust
 

 


12:01 a.m.

Effective Date

(Optional)

  2/02/2011 at       (The conversion is effective upon the filing of this certificate or on a later date specified in the certificate that it is not more than ninety days after filing)   
Name and address of the person or entity that will provide a copy of the declaration of conversion upon written request.   
 

 Theodore Pulkownik

  
  Name   
 

100 Matsonford  Road, Bldg. One, Suite 200

  
  Mailing Address   
 

 Radnor

    PA                                     

19087

  
   City     State     Zip Code   

 

Required information that must accompany conversion certificate if box 2 is checked  
If the converting entity is a domestic or foreign entity that will not be licensed in Ohio, provide the name and address of the statutory agent upon whom any process, notice or demand may be served.
                              
   Name of Statutory Agent  
                              
   Mailing Address          
          

 

   

 

   

 

 
   City     State     Zip Code  

 

  ¨ If the agent is an individual using a P.O. Box, check this box to confirm that the agent is an Ohio resident.

If the converting entity is a domestic or foreign corporation licensed to transact business in Ohio and converting off the records, the certificate of conversion must be accompanied by the affidavits herein attached. (See Instructions)

 

See instructions for additional filing requirements if

(1) the conversion creates a new domestic entity,

(2) the converted entity is a foreign entity that desires to transact business in Ohio, or

(3) if a foreign or domestic corporation licensed to transact business in this state is the converting entity.


IN WITNESS WHEREOF, the conversion is authorized on behalf of the converting entity and that each person signing the certificate of conversion is authorized to do so.

 

Required     

LOGO

     

2/1/2011

Must be authenticated (signed)

by an authorized representative.

     Signature       Date
    

Theodore Pulkownik

     
     Print Name      
    

Secretary

     
     Title      
    

 

     

 

     Signature       Date
    

 

     
     Print Name      
    

 

     
     Title      
    

 

     

 

     Signature       Date
    

 

     
     Print Name      
    

 

     
     Title      


AFFIDAVIT RELEASES FROM VARIOUS GOVERNMENTAL AUTHORITIES

AMRESCO INC.

 

 

Exact Name of Corporation

If a foreign or domestic corporation licensed to transact business in Ohio is the converting entity, the certificate of conversion must be accompanied by the affidavits, receipts, certificates, or other evidence required by division (H) of section 1701.811(B)(4) of the Revised Code.

 

AGENCY

Ohio Department of Taxation

Dissolution Section

4485 Northland Ridge Blvd.

Columbus, Ohio 43229

  

DATE NOTIFIED

 

1/31/2011

       

AGENCY

Ohio Job & Family Services

Status and Liability Section

Data Correspondence Control

Fax: 614-752-4811

Phone: 614-466-2319

Overnight:

4020 East 5th Avenue

Columbus, OH

43219-1811

 

       

DATE NOTIFIED

 

1/31/2011

 

 

 

 

Regular:

P.O. Box 182413

Columbus, OH 43218-2413

 

    
AGENCY    DATE NOTIFIED         TREASURER       DATE NOTIFIED     

Ohio Bureau of Workers’

Compensation

30 W. Spring Street

Columbus, OH 43215

  

 

1/31/2011

        The treasurer of any county in which the corporation has personal property:     
          

 

Cuyahoga

 

 

 

       

 

1/31/2011

 

 

 

    

Note: This affidavit must be signed by one or more persons executing the certificate of conversion or by an officer of the corporation.

 

Signature         

  

LOGO

       Title Secretary               

 

Theodore Pulkownik

     
Name      

6681 Cochran Road

     
Street Address / P.O. Box Address      

 

Solon

    

OH

     

44139

  
City      State       Zip Code   

 

Acknowledged before me and subscribed in my presence on   

Date 2-1-2011

  
Seal   

LOGO

  
[SEAL]    Notary Public   
   Commission Expires   

No expiration

      Date


AFFIDAVIT OF PERSONAL PROPERTY

STATE OF         OHIO                

County   Cuyahoga                 SS:

Theodore Pulkownik                

Name of Officer

 

Secretary

     of                   

AMRESCO INC.

  
Title of Officer         Name of Corporation   

and that this affidavit is made in compliance with Section 1701.811(B)(4) of the Ohio Revised Code.

That above-named corporation: (Check one (1) of the following)

 

  ¨ Has no personal property in any county in Ohio

 

  ¨ Is the type required to pay personal property taxes to state authorities only

 

  x Has personal property only in the following county (ies)

 

Cuyahoga

   

 

   

 

and that the net assets of said corporation are sufficient to pay all personal property taxes accrued to date.

 

            Signature:    

LOGO

   Title:    Secretary                   

 

Acknowledged before me and subscribed in my presence on Date        2-1-2011                  

Seal

  

LOGO

  
   Notary Public   

 

Expiration date of Notary Public’s Commission   

No expiration

  
      Date   


LOGO

 

ARTICLES OF ORGANIZATION FOR A DOMESTIC

LIMITED LIABILITY COMPANY

Filing Fee: $125.00

(CHECK ONLY ONE (1) BOX)

(1)   x   

Articles of Organization for Domestic For-Profit Limited Liability Company

(115-LCA)

ORC 1705

   (2)  ¨   

Articles of Organization for Domestic Nonprofit Limited Liability Company

(115-LCA)

ORC 1705

 

Name of limited liability company

AMRESCO, LLC

 

 

Name must include one of the following words or abbreviations: “limited liability company,” “limited,” “LLC,” “L.L.C.,” “ltd., “or “ltd”

 

Effective Date

(Optional)

  

 

mm/dd/yyyy

   (The legal existence of the limited liability company begins upon the filing of the articles or on a later date specified that is not more than ninety days after filing)
This limited liability company shall exist for   

 

(Optional)       Period of Existence
Purpose   

 

(Optional)   

 

    

  

 

  

 

  

 

  

 

 

¨ Check here if additional provisions are attached


ORIGINAL APPOINTMENT OF AGENT

The undersigned authorized member(s), manager(s) or representative(s) of

 

AMRESCO, LLC

Name of Limited Liability Company

hereby appoint the following to be Statutory Agent upon whom any process, notice or demand required or permitted by statute to be served upon the limited liability company may be served. The name and address of the agent is

 

David Camiener

Name of Agent

 

6681 Cochran Road

Mailing Address

 

Solon

    

Ohio

     

44139

  
City      State       Zip Code   

 

¨ If the agent is an individual and using a P.O. Box, check this box to certify the agent is an Ohio resident.

ACCEPTANCE OF APPOINTMENT

The undersigned, named herein as the statutory agent for

 

AMRESCO, LLC

Name of Limited Liability Company

hereby acknowledges and accepts the appointment of agent for said limited liability company

 

/s/ David Camiener

David Camiener    Agent’s Signature


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 on behalf of the limited liability company identified above.

 

REQUIRED

Articles and original appointment of agent must be authenticated (signed) by a member, manager or other representative.

    

LOGO

Signature

     

2/1/2011

Date

    

 

Theodore Pulkownik

Print Name

     
    

 

Signature

     

 

Date

    

 

Print Name

     
    

 

Signature

     

 

Date

    

 

Print Name

     

(See Instructions Below)