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If the converting association is a nonregistered foreign association, the address, including street and number, if. Download Fillable Form Dscb:15-355 In Pdf - The Latest Version Applicable For 2023.Download Statement of Conversion (DSCB:15-355) – Department of State (Pennsylvania) form. 15-355. Statement of Conversion. 15-366. Statement of Division. C.S. § 355 (relating to statement of conversion; effectiveness) and DSCB:54-311 (Application for Registration of Fictitious Name) relates to 54 Pa. The following official forms have been promulgated under this chapter and appear in Appendix A: Form DSCB:UCC-1 (Uniform Commercial Code-Financing Statement). Form DSCB:UCC-3 (Uniform Commercial Code-Financing Statement Change). If you want to convert your organization then you will be needing a legal statement that will help you complete the process. Departments​Form NameExpedited Services​​Expedited Service Request FormFictitious Namer​