FLORIDA DEPARTMENT OF STATE  
                                     DIVISION OF CORPORATIONS 
 
Section 607.1403, Florida Statutes, provides for the dissolution of a corporation that has issued shares. 
 
The document must be typed or printed and must be legible. 
 
Pursuant to section 607.0123, Florida Statutes, a delayed effective date may be specified but may not be later 
     th
than the 90  day after the date on which the document is filed. 
 
NOTE:   A Notice of Corporate Dissolution form is attached.  This notice pursuant to s. 607.1407, F.S. is 
optional and is not required when filing a dissolution. No additional fee is required if it is included. 
 
       FEES: 
       Articles of Dissolution            $  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 contact the Amendment Section at (850) 245-6050. 
 
 CR2E012 (12/19) 

                                    COVER LETTER 
                                                
TO:   Amendment Section 
        Division of Corporations 
 
SUBJECT:                                                                                                        
 
DOCUMENT NUMBER:                                                                                                
 
The enclosed Articles of Dissolution 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) 
                                                
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: 
 
☐ $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 DISSOLUTION 
 
Pursuant to section 607.1403, Florida Statutes, this Florida profit corporation submits the following articles 
of dissolution: 
 
FIRST:          The name of the corporation as currently filed with the Florida Department of State: 
 
SECOND:         The document number of the corporation (if known):                                                                 
 
THIRD:          The date dissolution was authorized:                                                                               
                       
                Effective date of dissolution if applicable:                                                                       
                                                                 (no more than 90 days after dissolution 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. 
                 
FOURTH:         Dissolution was approved by the shareholders, in the manner required by this chapter and 
                the articles of incorporation.  
                 
        Signature:                                                                                                                 
                               (By a director, president or other officer - if directors or officers 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) 
                   
                                                Filing Fee: $35 
 

                           Notice of Corporate Dissolution 
                                                                 
This notice is submitted by the dissolved corporation named below for resolution of payment of unknown claims 
against this corporation as provided in s. 607.1407, F.S.  
 
This "Notice of Corporate Dissolution" is optional and is not required when filing a voluntary dissolution. 
 
Name of Corporation:                                                                                              
 
The above named corporation is the subject of dissolution and the effective date of a dissolution is:            
 
                           (date filed with the Dept. if date specified in the Articles of Dissolution) 
 
Description of information that must be included in a claim:  
 
Mailing address where written claims can be sent: (Claims cannot be sent to the Division of Corporations) 
 
A claim against the above named corporation will be barred unless a proceeding to enforce the claim is commenced 
within 4 years after the filing of this notice. 
 
                          Printed Name of the Person Filing                    Signature of the Person Filing  
                                      
       Fee:  No charge if included with Articles of Dissolution.  If filed separately $35.00