Application By Foreign Not For Profit Corp Authorization To Conduct Affairs In FL {CR2E021}

FLORIDA DEPARTMENT OF STATE DIVISION OF CORPORATIONS Attached are the forms and instructions to register a foreign not for profit corporation to conduct its affairs in Florida. The requirements are as follows: Pursuant to section 617.1503(1), Florida Statutes, the attached application must be completed in its entirety. The corporation must submit an original certificate of existence, no more than 90 days old, duly authenticated by the Secretary of State or the proper official having custody of corporate records in the state or country under the law of which it is incorporated. A photocopy is not acceptable. If the certificate is in a foreign language, a translation of the certificate under oath of the translator must be submitted. There is a $70.00 registration fee and a letter of acknowledgment will be issued free of charge upon registration. Certification fees are optional. Please submit an additional $8.75 if a certificate of status is needed. The fee for a certified copy of the application is $8.75 each (plus $1 per page for each page over 8, not to exceed a maximum of $52.50). Please check the appropriate box on the cover letter and send one check for the total amount made payable to the Florida Department of State. The cover letter should be completed and submitted along with the certificate, application and check. Both the mailing address and street address are noted in the cover letter. Any further inquiries concerning this matter should be directed to the Registration Section by calling (850) 245-6051 or writing the Registration Section, Division of Corporations, P. O. Box 6327, Tallahassee, FL 32314. CR2E021 (6/15) American LegalNet, Inc. www.FormsWorkFlow.com COVER LETTER TO: Registration Section Division of Corporations SUBJECT: Dear Sir or Madam: The enclosed "Application by Foreign Not for Profit Corporation for Authorization to Conduct its Affairs in Florida", "Certificate of Existence", or "Certificate of Status" and check are submitted to register the above referenced not for profit corporation to conduct its affairs in Florida. Please return all correspondence concerning this matter to the following: Name of Corporation ­ must include suffix 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 MAILING ADDRESS: Registration Section Division of Corporations P.O. Box 6327 Tallahassee, FL 32314 Enclosed is a check for the following amount: $70.00 Filing Fee $78.75 Filing Fee & Certificate of Status ) __ Area Code Daytime Telephone Number STREET/COURIER ADDRESS: Registration Section Division of Corporations Clifton Building 2661 Executive Center Circle Tallahassee, FL 32301 $78.75 Filing Fee & Certified Copy $87.50 Filing Fee, Certificate of Status & Certified Copy American LegalNet, Inc. www.FormsWorkFlow.com APPLICATION BY FOREIGN NOT FOR PROFIT CORPORATION FOR AUTHORIZATION TO CONDUCT ITS AFFAIRS IN FLORIDA IN COMPLIANCE WITH SECTION 617.1503, FLORIDA STATUTES, THE FOLLOWING IS SUBMITTED TO REGISTER A FOREIGN NOT FOR PROFIT CORPORATION FOR AUTHORIZATION TO CONDUCT ITS AFFAIRS IN THE STATE OF FLORIDA: 1. (Name of corporation: must include the word "INCORPORATED" or "CORPORATION" or words or abbreviations of like import in language as will clearly indicate that it is a corporation instead of a natural person or partnership if not so contained in the name at present. "Company" or "Co." may not be used as a corporate suffix by a nonprofit corporation.) (If name unavailable in Florida, enter alternate corporate name adopted for the purpose of transacting business in Florida) 2. (State or country under the law of which it is incorporated) 3.______________________________________ (FEI number, if applicable) 4. (Date of Incorporation) 5. (Date of duration, if other than perpetual) 6. (Date first conducted affairs in Florida if prior to registration. See sections 617.1501 & 617.1502, F.S, to determine penalty liability.) 7. (Principal office address) (Current mailing address, if different) 8. (Purpose(s) of corporation authorized in home state or country to be carried out in the state of Florida) 9. Name and street address of Florida registered agent: (P.O. Box NOT acceptable) Name: Office Address: , Florida (City) (Zip Code) 10. Registered agent's acceptance: Having been named as registered agent and to accept service of process for the above stated corporation at the place designated in this application, I hereby accept the appointment as registered agent and agree to act in this capacity. I further agree to comply with the provisions of all statutes relative to the proper and complete performance of my duties, and I am familiar with and accept the obligations of my position as registered agent. (Registered agent's signature) 11. Attached is a certificate of existence duly authenticated, not more than 90 days prior to delivery of this application to the Department of State, by the Secretary of State or other official having custody of corporate records in the jurisdiction under the law of which it is incorporated. American LegalNet, Inc. www.FormsWorkFlow.com 12. Names and addresses of officers and/or directors A. DIRECTORS Chairman:_______________________________________________________________________________________________ Address:________________________________________________________________________________________________ ________________________________________________________________________________________________ Vice Chairman:_________________________________________________________________________________________ _ Address:________________________________________________________________________________________________ ________________________________________________________________________________________________ Director:________________________________________________________________________________________________ Address:________________________________________________________________________________________________ ________________________________________________________________________________________________ Director:________________________________________________________________________________________________ Address:________________________________________________________________________________________________ _______________________________________________________________________________