The Pennsylvania Statement of Conversion [DSC:15-355] is an official document that records the legal conversion of a business entity from one type to another. It is a document filed with the Pennsylvania Department of State, Bureau of Corporations and Charitable Organizations. There are two types of Pennsylvania Statement of Conversion [DSC:15-355]: the domestic and the foreign statement of conversion. The domestic statement of conversion is used to convert a Pennsylvania domestic business entity into a different type of Pennsylvania domestic business entity. The foreign statement of conversion is used to convert a foreign business entity into a Pennsylvania domestic business entity. The statement of conversion must include the name of the converting business entity, the type of business entity prior to the conversion, the type of business entity after the conversion, the date of the conversion, the name of the registered agent, and the signature of an authorized person.