FLORIDA DEPARTMENT OF STATE DIVISION OF CORPORATIONS Attached are forms for a change of name, duration, jurisdiction, or purpose for a foreign profit or not for profit corporation qualified to do business or conduct its affairs in Florida as required by section 607.1504 or 617.1504, Florida Statutes. The following requirements should be met after the occurrence of such a change within 30 days for a not for profit corporation and within 90 days for a profit corporation. NOTE: The purpose can be amended only on a not for profit corporation. Complete the appropriate application for amendment attached to this letter. An original certificate or a document of similar import from the state of incorporation evidencing the amendment must be submitted with the application. The certificate must be issued within the past 90 days. Fees for the amendment are: Filing Fee Certified Copy (optional) Certificate of Status (optional) $ 35.00 (Includes a letter of acknowledgment) $ 8.75 $ 8.75 Send one check in the total amount made payable to the Florida Department of State. Please include a letter containing your telephone number, return address and certification requirements, or complete the attached cover letter. Mailing Address: Amendment Section Division of Corporations P.O. Box 6327 Tallahassee, FL 32314 Street Address: Amendment Section Division of Corporations Clifton Building 2661 Executive Center Circle Tallahassee, FL 32301 For further information, you may call (850) 245-6050. CR2E019 (04/15) American LegalNet, Inc. www.FormsWorkFlow.com COVER LETTER TO: Amendment Section Division of Corporations SUBJECT: Name of Corporation DOCUMENT NUMBER: The enclosed Amendment and fee are submitted for filing. Please return all correspondence concerning this matter to the following: Name of Contact Person Firm/Company Address City/State and Zip Code E-mail address: (to be used for future annual report notification) For further information concerning this matter, please call: at ( Name of Contact Person ) Area Code & Daytime Telephone Number Enclosed is a check for the following amount: $35.00 Filing Fee $43.75 Filing Fee & Certificate of Status $43.75 Filing Fee & Certified Copy (Additional copy is enclosed) $52.50 Filing Fee, Certificate of Status & Certified Copy (Additional copy is enclosed) Mailing Address: Amendment Section Division of Corporations P.O. Box 6327 Tallahassee, FL 32314 Street Address: Amendment Section Division of Corporations Clifton Building 2661 Executive Center Circle Tallahassee, FL 32301 American LegalNet, Inc. www.FormsWorkFlow.com PROFIT CORPORATION APPLICATION BY FOREIGN PROFIT CORPORATION TO FILE AMENDMENT TO APPLICATION FOR AUTHORIZATION TO TRANSACT BUSINESS IN FLORIDA (Pursuant to s. 607.1504, F.S.) SECTION I (1-3 MUST BE COMPLETED) (Document number of corporation (if known) 1. (Name of corporation as it appears on the records of the Department of State) 2. (Incorporated under laws of) 3. (Date authorized to do business in Florida) SECTION II (4-7 COMPLETE ONLY THE APPLICABLE CHANGES) 4. If the amendment changes the name of the corporation, when was the change effected under the laws of its jurisdiction of incorporation? 5. (Name of corporation after the amendment, adding suffix "corporation," "company," or "incorporated," or appropriate abbreviation, if not contained in new name of the corporation) (If new name is unavailable in Florida, enter alternate corporate name adopted for the purpose of transacting business in Florida) 6. If the amendment changes the period of duration, indicate new period of duration. (New duration) 7. If the amendment changes the jurisdiction of incorporation, indicate new jurisdiction. (New jurisdiction) 8. Attached is a certificate or document of similar import, evidencing the amendment, authenticated not more than 90 days prior to delivery of the application to the Department of State, by the Secretary of State or other official having custody of corporate records in the jurisdiction under the laws of which it is incorporated. (Signature of a director, president or other officer - if in the hands of a receiver or other court appointed fiduciary, by that fiduciary) (Typed or printed name of person signing) (Title of person signing) American LegalNet, Inc. www.FormsWorkFlow.com NOT FOR PROFIT CORPORATION APPLICATION BY FOREIGN NOT FOR PROFIT CORPORATION TO FILE AMENDMENT TO APPLICATION FOR CONDUCTING AFFAIRS IN FLORIDA (Pursuant to s. 617.1504, F.S.) SECTION I (1-3 MUST BE COMPLETED) (Document Number of Corporation (If known) 1. (Name of corporation as it appears on the records of the Department of State) 2. (Incorporated under laws of) 3. (Date authorized to conduct affairs in Florida) SECTION II (4-8 COMPLETE ONLY THE APPLICABLE CHANGES) 4. If the amendment changes the name of the corporation, when was the change effected under the laws of its jurisdiction of incorporation? Note: If the date inserted in this block does not meet the applicable statutory filing requirements, this date will not be listed as the document's effective date on the Department of State's records. 5. (Name of corporation after the amendment, adding suffix "corporation," or "incorporated," or appropriate abbreviation, if not contained in new name of the corporation. "Company," or "Co.," may not be used as a corporate suffix by a nonprofit corporation) 6. If the amendment changes the period of duration, indicate new period of duration and the date the change was effected. (New duration) (Date) 7. If the amendment changes the jurisdiction of incorporation, indicate new jurisdiction and the date the change was effected. (New jurisdiction) (Date) 8. If the purpose which the corporation intends to pursue in Florida has changed, indicate new purpose. (The corporation is authorized to pursue such purpose in the jurisdiction of its incorporation) 9. Attached is a certificate or document of similar import, evidencing the amendment, authenticated not more than 90 days prior to delivery of the application to the Department of State, by the Secretary of State or other official having custody of corporate records in the jurisdiction under the laws of which it is incorporated. (Signature of the chairman or vice chairman of the board, president, or other officer ­ if in the hands of a receiver, trustee, or other court-appointed fiduciary, by that fiduciary) (Typed or printed name of the person signing) (Title of person signing) American LegalNet, Inc. www.FormsWorkFlow.com