COVER LETTER TO: Registration Section Division of Corporations SUBJECT: Name of Limited Liability Company Dear Sir or Madam: The enclosed Statement of Authority and fee(s) are submitted for filing. Please return all correspondence concerning this matter to the following: Name of 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 Person Area Code ) Daytime Telephone Number STREET/COURIER ADDRESS: Registration Section Division of Corporations Clifton Building 2661 Executive Center Circle Tallahassee, Florida 32301 MAILING ADDRESS: Registration Section Division of Corporations P.O. Box 6327 Tallahassee, Florida 32314 CR2E138 (2/14) American LegalNet, Inc. www.FormsWorkFlow.com STATEMENT OF AUTHORITY Pursuant to section 605.0302(1), Florida Statutes, this limited liability company submits the following statement of authority: FIRST: The name of the limited liability company is: SECOND: The Florida Document Number of the limited liability company is: THIRD: The street address of the limited liability company's principal office is: The mailing address of the limited liability company's principal office is: FOURTH: This statement of authority grants or sets limitations of authority on all persons having the status or position of a person in a company, whether as a member, transferee, manager, officer or otherwise or to a specific person on the following: 1. May execute an instrument transferring real property held in the name of the company. a. Granted to: b. No authority granted to: 2. May enter into other transactions on behalf of, or otherwise act for or bind, the company. a. Granted to : b. No authority granted to: ____________________________________ ________________________________ Signature of authorized representative Typed or printed name of signature Filing Fee: $25.00 Certified Copy: $30.00 (optional) CR2E138 (2/14) American LegalNet, Inc. www.FormsWorkFlow.com