FLORIDA DEPARTMENT OF STATE  
                        DIVISION OF CORPORATIONS 
                                           
Attached is the information relating to the renewal of a foreign name registration.  
Pursuant to section 617.0403, 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. 
 
CR2E024 (6/17) 

                                 COVER LETTER 
                                            
TO: Registration Section 
    Division of Corporations 
 
SUBJECT:                                                                             
                   (Name of Foreign Not For Profit 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 NOT FOR PROFIT CORPORATION 
 
IN COMPLIANCE WITH SECTION 617.0403, 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)