FLORIDA DEPARTMENT OF STATE DIVISION OF CORPORATIONS Attached are forms for filing Articles of Dissolution to dissolve a Florida not for profit corporation. SUBMIT ONLY ONE FORM Section 617.1401, Florida Statutes, provides for the dissolution of a corporation that has not commenced to conduct its affairs. The document must be typed or printed and must be legible. Pursuant to section 617.0123, Florida Statutes, a delayed effective date may be specified but may not be later than the 90th day after the date on which the document is filed. FEES: Articles of Dissolution 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 contact the Amendment Section at (850) 245-6050. CR2E059a (7/13) American LegalNet, Inc. www.FormsWorkFlow.com COVER LETTER TO: Amendment Section Division of Corporations SUBJECT: DOCUMENT NUMBER: The enclosed Articles of Dissolution 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) 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 Filing Fee $43.75 Filing Fee & $43.75 Filing Fee & $52.50 Filing Fee, Certificate of Status Certified Copy Certificate of Status & (Additional copy is Certified Copy enclosed) (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 ARTICLES OF DISSOLUTION Pursuant to section 617.1401, Florida Statutes, this Florida not for profit corporation submits the following Articles of Dissolution: FIRST: The name of the corporation as currently filed with the Florida Department of State: SECOND: THIRD: FOURTH FIFTH: SIXTH: The document number of the corporation (if known): The file date of the articles of incorporation: The corporation has not commenced to conduct its affairs. No debts of the corporation remains unpaid. Adoption of Dissolution (CHECK ONE) (Note: Cannot be authorized by an incorporator if the corporation has directors) The dissolution was authorized by a majority of the directors: OR The dissolution was authorized by an incorporator. The dissolution was authorized by a majority of the incorporators. Signature: (By the chairman or vice chairman of the board, president or other officer- if directors have not been selected, by an incorporator- if in the hands of a receiver, trustee, or other court appointed fiduciary, by that fiduciary) (Typed or printed name of person signing) (Title of person signing) Filing Fee: $35 American LegalNet, Inc. www.FormsWorkFlow.com