COVER LETTER TO: Registration Section Division of Corporations SUBJECT: (Name of Alien Business Organization or Financial Institution) Dear Sir or Madam: The enclosed Designation of Registered Agent and Registered Office for Alien Business Organization or Financial Institution 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) For further information concerning this matter, please call: (Name of Person) STREET/COURIER ADDRESS: Registration Section Division of Corporations Clifton Building 2661 Executive Center Circle Tallahassee, Florida 32301 at ( ) (Area Code & Daytime Telephone Number) MAILING ADDRESS: Registration Section Division of Corporations P.O. Box 6327 Tallahassee, Florida 32314 Enclosed is a check for the following amount: $35.00 Filing Fee $43.75 Filing Fee & Certified Copy INHS80 (7/16) American LegalNet, Inc. www.FormsWorkFlow.com DESIGNATION OF REGISTERED AGENT AND REGISTERED OFFICE FOR ALIEN BUSINESS ORGANIZATION OR FINANCIAL INSTITUTION PURSUANT TO SECTION 607.0505 OR 655.0201, FLORIDA STATUTES, THE UNDERSIGNED ALIEN BUSINESS ORGANIZATION OR FINANCIAL INSTITUTION SUBMITS THE FOLLOWING STATEMENT IN ORDER TO DESIGNATE ITS REGISTERED AGENT AND REGISTERED OFFICE IN THE STATE OF FLORIDA: 1. 2. (State or country under which entity is organized) (Name of alien business organization or financial institution) 3. (FEI Number, if applicable) 4. (Principal office address) 5. Name and Florida Street address of registered agent. 6. The street address of the registered office and the street address of the business office of the registered agent are identical. 7. (Signature of chairman, vice chairman, or officer) 8. (Name and capacity of person signing in number 7 above) 9. Signature of registered agent: I hereby accept the appointment as registered agent. I am familiar with and accept the obligations of section 607.0505 or 655.0201, Florida Statutes. (Registered agent accepting appointment) (Date) THE FILING OF THIS FORM WITH THE FLORIDA DEPARTMENT OF STATE DOES NOT AUTHORIZE THE ABOVE REFERENCED ENTITY TO TRANSACT BUSINESS IN THE STATE OF FLORIDA. FILING FEE $35 Make checks payable to Florida Department of State and mail to: Division of Corporations P. O. Box 6327 Tallahassee, FL 32314 INHS80 (7/16) American LegalNet, Inc. www.FormsWorkFlow.com