COVER LETTER 
                                                                            
TO: Registration Section 
    Division of Corporations 
 
SUBJECT:                                                                                                                    
                                  Name of Limited Liability Company 
                                                                            
Dear Sir or Madam: 
 
The enclosed Registered Agent/Registered Office Change 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 
 
         E-mail address: (to be used for future annual report notification) 
 
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: 
     
     $25 Filing Fee                                                        $55 Filing Fee & Certified Copy 
                                                                            
INHS18 (2/14) 
                                                                            

 STATEMENT OF CHANGE OF REGISTERED OFFICE OR REGISTERED AGENT OR BOTH FOR 
                                                        LIMITED LIABILITY COMPANY 
                                                                                  
Pursuant to the provisions of sections 605.0114 or 605.0116, Florida Statutes, the undersigned limited liability company 
submits the following statement in order to change its registered office or registered agent, or both, in the State of Florida.
                                        
1.    Name of the limited liability company:                                                                                                             

2.  (a)                                                                           (b)                                                                               
                          Principal office address of limited liability company:                          Mailing address of limited liability company:  
                                  (Note:  MUST BE STREET ADDRESS)                                             (Note:  MAY BE POST OFFICE BOX) 
                                                        
3.                       Date of filing/registration in Florida                   4.                         Document number 
 
5.   (a)                                                                                      
               Registered Agent and Registered Office shown on the records of the Florida Dept. of State: 
              
             Registered Office Address (MUST BE FLORIDA STREET ADDRESS)                                         
              
                                                                  , FL                                                                                 
                   
     (b)                                                                                      
               Enter name of NEW Registered Agent and/or NEW Registered Office address: 
 
             NEW Registered Office Address:                        
              
                                                                  , FL                                         
 
If the limited liability company is not organized under the laws of the State of Florida, it is hereby confirmed that after the 
change or changes are made, the Florida street address of the registered office and the business office of the registered 
agent will be identical.  Or, in the case of a Florida limited liability company, it is hereby confirmed that the change(s) 
was/were authorized by an affirmative vote of the members of the limited liability company or as otherwise provided in 
the articles of organization or the operating agreement of the limited liability company. 
 
    Signature of a member or authorized representative of a member                                                    Printed or typed name of signee   
 
 I hereby accept the appointment as registered agent and agree to act in this capacity.  I further agree to comply with the 
provisions of all statutes relative to the proper and complete performance of my duties, and I am familiar with and accept 
the obligations of my position as registered agent as provided for in Chapter 605, F.S.  Or, if this document is being filed 
to merely reflect a change in the registered office address, I hereby confirm that the limited liability company has been 
notified in writing of this change. 
 
 Signature of Registered Agent                                     
                                                                                  
                                    Division of Corporations● P.O. Box 6327● Tallahassee, FL 32314 
                                                           FILING FEE: $25.00 
INHS18 (2/14)