FLORIDA DEPARTMENT OF STATE  
                                       DIVISION OF CORPORATIONS 
  
 Attached is the information relating to the renewal of a foreign name registration.  Pursuant to section 
 607.0403, Florida Statutes, the requirements for renewing a foreign corporate name registration in the 
 state of Florida are listed below. 
  
  The renewal application for foreign corporate name registration printed on the reverse side 
   must be completed in its entirety and submitted between October 1 and December 31 preceding 
   the year of renewal. 
  
  Fees: 
  
             Renewal Filing fee           $ 87.50  
             Certified Copy (optional)    $ 8.75 (plus $1 per page for each page over 8, not to  
                                                                   exceed a maximum of $52.50). 
 
  Send one check for the total amount made payable to the Department of State. 
  
  Please be sure to include a cover letter with your application and check.  The cover letter 
   should include the name of the contact person and his/her telephone number during the day, 
   and the name and address to which the acknowledgment should be addressed. 
  
 A letter of acknowledgment is issued free of charge upon renewal.  The filing of a renewal application 
 renews the registration for the following calendar year. 
  
 Any further questions concerning the renewal should be directed to the Registration Section by calling  
 (850) 245-6051 or by writing Division of Corporations, P. O. Box 6327, Tallahassee, FL 32314. 
  
 CR2E018 (9/15) 

                                    COVER LETTER 
                                                      
TO: Registration Section 
    Division of Corporations 
 
SUBJECT:                                                                                
                                  (Name of Foreign Corporation) 
                                                      
Dear Sir or Madam: 
 
The enclosed Foreign Name Registration Renewal 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: 
 
                                                at (         )                          
          (Name of Person)                            (Area Code & Daytime Telephone Number) 
 
    Mailing Address:                                         Street Address: 
    Registration Section                                     Registration 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 
                                  
Enclosed is a check for the following amount: 
☐ $87.50 Filing Fee                                   ☐ $96.25 Filing Fee & Certified Copy          

RENEWAL APPLICATION FOR A FOREIGN NAME REGISTRATION FOR 
FOREIGN PROFIT CORPORATION 
 
IN COMPLIANCE WITH SECTION 607.0403,  FLORIDA STATUTES, THE FOLLOWING  IS 
SUBMITTED TO RENEW A FOREIGN NAME REGISTRATION: 
 
1.                                                                                  
         (Corporate name as listed in number 1 of initial registration) 
 
2.                                                                                  
        (State or country under the laws of which it is incorporated) 
                            
3.                                                                                  
        (Document number assigned by Florida Department of State) 
                            
4.                                                                                  
          (Date of incorporation) 
                            
5.                                                                                  
        (Federal Employer Identification number, if applicable) 
                            
6.                                                                                 
 
          (Current mailing address) 
                            
7.                                                                                 
 
       (Brief description of the nature of the business in which it is engaged) 
 
8.                                                                                  
        (Signature of Chairman, Vice Chairman, or officer) 
                            
9.                                                                                      
       (Typed or printed name and capacity of person signing application)