FLORIDA DEPARTMENT OF STATE DIVISION OF CORPORATIONS WANTS YOU TO KNOW... Business Identity Theft is a broad term that encompasses a wide variety of crimes involving the unauthorized use of a business identity. Small and midsize companies are tempting targets for criminals. 60% of small businesses close within a year of being victims. In an effort to be more business friendly and to heighten security, the Department of State has instituted an e-mail notification process whereby business entities are sent e-mail notices when any changes are made to their records. This e-mail notice will be sent to the previous e-mail address of record. If the change was not authorized by a principal of the business entity, you will be able to notify the Department utilizing a link provided in the e-mail. The 2012 Florida Statutes 817.155 Matters within jurisdiction of Department of State; false, fictitious, or fraudulent acts, statements, and representations prohibited; penalty; statute of limitations.--A person may not, in any matter within the jurisdiction of the Department of State, knowingly and willfully falsify or conceal a material fact, make any false, fictitious, or fraudulent statement or representation, or make or use any false document, knowing the same to contain any false, fictitious, or fraudulent statement or entry. A person who violates this section is guilty of a felony of the third degree, punishable as provided in s. 775.082, s. 775.083, or s. 775.084. American LegalNet, Inc. www.FormsWorkFlow.com COVER LETTER TO: Amendment Section Division of Corporations SUBJECT: (Name of Corporation) DOCUMENT NUMBER: The enclosed Resolution of the Board of Directors to Change the Alternate name for use in Florida 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 made payable to the Florida Department of State 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 CR2E125 (04/12) American LegalNet, Inc. www.FormsWorkFlow.com FLORIDA DEPARTMENT OF STATE DIVISION OF CORPORATIONS RESOLUTION OF THE BOARD OF DIRECTORS TO CHANGE THE ALTERNATE NAME FOR USE IN FLORIDA (Pursuant to section 607.1506 or 617.1506, F.S.) (Please print or type) I, the undersigned (Name) , do hereby certify that this Resolution of the Board of Directors of , (Name of Corporation) a corporation duly organized and existing under the laws of (State or Country) , , changing the alternate was adopted on name in Florida from (Current Alternate Name) , (Alternate Name) NOTE: Must contain a corporate suffix to and its real name is unavailable in Florida. Date: Signature of Chairman, Vice Chairman of the Board, a director or any officer Title of person signing FILING FEE $35 Make checks payable to Florida Department of State and mail to: Division of Corporations P.O. Box 6327 Tallahassee, FL 32314 CR2E125 (04/12) American LegalNet, Inc. www.FormsWorkFlow.com