FLORIDA DEPARTMENT OF STATE 
                                                  DIVISION OF CORPORATIONS 
 
Attached is a form for filing Articles of Amendment to amend the articles of incorporation of a Florida Not for Profit Corporation 
pursuant to section 617.1006, Florida Statutes.  This is a basic amendment form and may not satisfy all statutory requirements for 
amending. 
 
A corporation can amend or add as many articles as necessary in one amendment. 
 
       The original incorporators cannot be amended. 
 
       If amending the name of the corporation, the new name must be distinguishable on the records of the Florida Department of 
        State.   A preliminary search for name availability can be made through the Division’s website at www.sunbiz.org.  You are 
        responsible for any name infringement that may result from your corporate name selection. 
  
       If amending the registered agent, the new agent must sign accepting the appointment and state that he/she is familiar with the 
        obligations of the position. 
  
       If amending/adding officers/directors, list titles and addresses for each officer/director. 
  
 If a section is not being amended, enter N/A or Not Applicable. 
 The document must be typed or printed and must be legible. 
  
The document must be typed or printed and must be legible. 
 
Pursuant to section 617.0123, Florida Statutes, a delayed effective date may be specified but may not be later than the 90 thday after 
the date on which the document is filed.  
 
        Filing Fee                                  $35.00 (Includes a letter of acknowledgment)     
 
        Certified Copy (optional)                   $8.75  
 
        Certificate of Status (optional)            $8.75  
 
Send one check in the total amount made payable to the Florida Department of State. 
 
Please include a letter containing your telephone number, return address and certification requirements, or complete the attached cover 
letter. 
 
        Mailing Address                             Street Address 
        Amendment Section                           Amendment Section 
        Division of Corporations                    Division of Corporations 
        P.O. Box 6327                               The Centre of Tallahassee 
        Tallahassee, FL 32314                       2415 N. Monroe Street, Suite 810 
                                                    Tallahassee, FL 32303 
 
For further information, you may call the Amendment Section at (850) 245-6050 
 
CR2E009 (4/15) 
 

                                                            COVER LETTER 
 
TO: Amendment Section 
        Division of Corporations 
 
NAME OF CORPORATION:                                                                                                                   
 
DOCUMENT NUMBER:                                                                                                                       
 
The enclosed Articles of Amendment 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) 
 
                  E-mail address: (to be used for future annual report notification) 
 
For further information concerning this matter, please call: 
 
                                                                                      at                                               
                                   (Name of Contact Person)                                (Area Code)     (Daytime Telephone Number) 
 
Enclosed is a check for the following amount made payable to the Florida Department of State: 
 
    ☐ $35 Filing Fee    ☐$43.75 Filing Fee & ☐              $43.75 Filing Fee &           ☐$52.50 Filing Fee                                                              
                                   Certificate of Status      Certified Copy                  Certificate of Status 
                                                 (Additional copy is                          Certified Copy                                 
                                                                           enclosed)          (Additional Copy is 
                                                                                               Enclosed) 
 
             Mailing Address                                                         Street Address 
             Amendment Section                                                       Amendment Section 
             Division of Corporations                                                Division of Corporations 
             P.O. Box 6327                                                           The Centre of Tallahassee 
             Tallahassee, FL 32314                                                   2415 N. Monroe Street, Suite 810 
                                                                                     Tallahassee, FL 32303 

                                                                                 Articles of Amendment 
                                                                                                       to 
                                                                            Articles of Incorporation 
                                                                                                       of 
 
(Name of Corporation as currently filed with the Florida Dept. of State) 
 
                                                                      (Document Number of Corporation (if known) 
 
Pursuant to the provisions of section 617.1006, Florida Statutes, this                                  Florida Not For Profit Corporation         adopts the following 
amendment(s) to its Articles of Incorporation: 
 
A.  If amending name, enter the new name of the corporation: 
 
                                                                                                                                                                 The new 
name must be distinguishable and contain the word “corporation” or “incorporated” or the abbreviation “Corp.” or “Inc.” 
“Company” or “Co.” may not be used in the name. 
 
B.  Enter new principal office address, if applicable:                                                                                                            
(Principal office address MUST BE A STREET ADDRESS )    
                                                                                                                                                                  
C.   Enter new mailing address, if applicable:               
      (Mailing address MAY BE A POST OFFICE BOX          )                                                                                                        
 
D.  If amending the registered agent and/or registered office address in Florida, enter the name of the  
      new registered agent and/or the new registered office address: 
 
                   Name of New Registered Agent:                                                                                                                  
          
                                                                                                                          (Florida street address) 
                     New Registered Office Address:                      
                   
                                                                                                                                   , Florida                                        
                                                                                                       (City)                                        (Zip Code) 
 
New Registered Agent’s Signature, if changing Registered Agent: 
I hereby accept the appointment as registered agent.   I am familiar with and accept the obligations of the position. 
                                                                   
                                                                                                Signature of New Registered Agent, if changing    
 

 If amending the Officers and/or Directors, enter the title and name of each officer/director being removed and title, name, 
and address of each Officer and/or Director being added: 
(Attach additional sheets, if necessary) 
Please note the officer/director title by the first letter of the office title: 
P = President; V= Vice President; T= Treasurer; S= Secretary; D= Director; TR= Trustee; C = Chairman or Clerk; CEO = Chief 
Executive Officer; CFO = Chief Financial Officer.  If an officer/director holds more than one title, list the first letter of each office 
held. President, Treasurer, Director would be PTD. 
    
Changes should be noted in the following manner.  Currently John Doe is listed as the PST and Mike Jones is listed as the V. There is 
a change, Mike Jones leaves the corporation, Sally Smith is named the V and S. These should be noted as John Doe, PT as a Change, 
Mike Jones, V as Remove, and Sally Smith, SV as an Add. 
 
Example: 
  X Change             PT     John Doe  
  X Remove             V      Mike Jones 
  X  Add               SV     Sally Smith   
 
Type of Action          Title            Name                                                                                        Address   
(Check One) 
 
1)           Change                                                                                                                                             
               Add                                                                                                                                                                                        
 
               Remove                                                                                                                                                                                   
       
2)           Change                                                                                                                                             
               Add                                                                                                                                                                                        
 
               Remove                                                                                                                                                                                   
3 )           Change                                                                                                                                            
               Add                                                                                                                                                                                          
               Remove                                                                                                                                                                                   
  
4)           Change                                                                                                                                             
               Add                                                                                                                                                                                        
 
               Remove                                                                                                                                                                                         
 
5)           Change                                                                                                                                             
               Add                                                                                                                                                                                         
        
               Remove                                                                                                                                                                                   
 
6 )           Change                                                                                                                                           
               Add                                                                                                                                                                                        
 
               Remove                                                                                                                                                                               
                                                    
E. If amending or adding additional Articles, enter change(s) here:  
   (attach additional sheets, if necessary).     (Be specific) 
 

The date of each amendment(s) adoption:                                                                                , if other than the 
date this document was signed.  
 
Effective date if applicable:                                                                                                               
                                                                    (no more than 90 days after amendment file date) 
 
Note:  If the date inserted in this block does not meet the applicable statutory filing requirements, this date will not be listed as the 
document’s effective date on the Department of State’s records. 
 
Adoption of Amendment(s)                       (CHECK ONE) 
 
 The amendment(s) was/were adopted by the members and the number of votes cast for the amendment(s)            
  was/were sufficient for approval.  
   

 There are no members or members entitled to vote on the amendment(s).  The amendment(s) was/were                
       adopted by the board of directors.     
 
                      Dated                        
 
                      Signature                                                                                                 
                                     (By the chairman or vice chairman of the board, president or other officer-if directors  
                            have not been selected, by an incorporator – if in the hands of a receiver, trustee, or                         
                            other court appointed fiduciary by that fiduciary) 
 
                                                             (Typed or printed name of person signing) 
 
                                                                          (Title of person signing)