COVER LETTER 

Department of State 

Division of Corporations 

P.O. Box 6327 

Tallahassee, FL  32314 

SUBJECT:                                                                                            

Enclosed is an original and one (1) copy of the Articles of Domestication and a check: 

FEES: 

      Certificate of Domestication                                            $  50.00 
OPTIONAL: 
 Certificate of Status                                                        $    8.75 

      From: 
                                                                                                  
                                                                       Name (printed or typed) 
                                                                                                  
                                                                          Address 

                                                                         City, State & Zip 
                                                                              
                              Daytime Telephone Number 
                                                                              
INHS81 (3/20)                                                             

                               Articles of Domestication 

        Florida Corporation Domesticating to other Jurisdiction 

The undersigned,                                     ,                                    
                                        (Name)                   (Title) 

of                                                                       , a Florida 
corporation, in accordance with s. 607.11922, Florida Statutes, submit these Articles of 
Domestication. 

1. Then name of the domesticating entity is                                                      
                                                     . 
    
2. The jurisdiction of its formation is  Florida.  

3. The name of the domesticated corporation is                                            
                                                                         . 
        
4. The jurisdiction of formation of the domesticated corporation is                       
                                                                 . 
        
5. The domesticating entity is a domestic corporation and the plan of domestication was 
   approved in accordance with this chapter. 
        
I submit this document and affirm that the facts stated herein are true.  I 
am aware that false information submitted in a document to the 
Department of State constitutes a third degree felony as provided for in 
s.817.155.F.S. 
    
I certify I am authorized to sign these Articles of Domestication on behalf of the corporation. 

                                          (Authorized Signature)