Statement Of Abandonment Of Domestication {CR2E136}

COVER LETTER TO: Registration Section Division of Corporations SUBJECT: Name of Limited Liability Company Dear Sir or Madam: The enclosed Statement of Abandonment of Domestication 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 CR2E136 (12/13) American LegalNet, Inc. www.FormsWorkFlow.com STATEMENT OF ABANDONMENT OF DOMESTICATION Pursuant to section 605.1054(3), Florida Statutes, I hereby submit the following Statement of Abandonment of Domestication prior to the effective date of the Articles of Domestication: FIRST: The name of the domesticating entity is: SECOND: The Florida Document number of the limited liability company is: THIRD: The date articles of domestication were delivered for filing is: FOURTH: The domestication has been abandoned in accordance with 605.1054. Authorized Representative of Domesticating Entity Typed or Printed Name of Signature Signature of Authorized Representative Typed or Printed Name of Signature Filing Fee: $25.00 Certified Copy: $30.00 (optional) American LegalNet, Inc. www.FormsWorkFlow.com