FLORIDA DEPARTMENT OF STATE  
                                 DIVISION OF CORPORATIONS 
   
Attached  is the  information relating to  the registration of a foreign corporate name  in Florida.  This 
application does not register the foreign corporation to transact business in Florida. It merely reserves the 
name for future use in  this  state. Pursuant to section  607.0403, Florida  Statutes, the requirements for 
registering a foreign corporate name in the state of Florida are listed below: 
 
FILING 
 
 Complete in its entirety "Application for the Registration of a Foreign Corporate Name" found on  
the reverse side of this letter. 
 
 Include with the application a certificate of existence, or a certificate stating that the corporation is             
in good standing under  the laws of  the state  or  country  wherein  it  is  organized,  from  the  state  or                  
country of incorporation.  (The date of issuance of the certificate cannot be more than 90 days prior             to 
the delivery of the application to the Department of State.) 
 
 Fees: 
            Application 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 Florida Department of State.  Please include             
a cover letter with your documents and check, stating the contact person with daytime telephone 
number, and the name and address to whom the acknowledgment should be returned. 
 
A letter of acknowledgment is issued free of charge upon registration.  Registration shall be effective until 
close of the calendar year in which the application for registration is filed. 
 
RENEWAL 
 
 A foreign name registration may be renewed each year by annually filing a renewal application 
between October 1, and December 31 preceding the year of renewal.  (Registration is renewed for   the 
following calendar year.) 
 
$ 87.50  Renewal Fee 
 
Questions concerning foreign name registrations should be directed to the Registration Section by calling 
(850) 245-6051 or by writing the Division of Corporations at the address indicated below. 
 
CR2E017 (9/15) 

                                  COVER LETTER 
                                                
TO: Registration Section 
    Division of Corporations 
 
SUBJECT:                                                                                   
                              (Name of Foreign Corporation) 
                                                
Dear Sir or Madam: 
 
The enclosed Foreign Name Registration, certificate 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          
 

                  APPLICATION FOR THE REGISTRATION OF A FOREIGN 
                                                          CORPORATE NAME 
    
 (NOTE: This application does not register the foreign corporation to transact business in Florida. It 
 merely reserves the name for future use in this state.) 
  
   IN COMPLIANCE WITH SECTION 607.0403, FLORIDA STATUTES, THE FOLLOWING IS 
                   SUBMITTED TO REGISTER A FOREIGN CORPORATE NAME: 
  
 1.                                                                                                                     
      Name of corporation adding the word "INCORPORATED", "COMPANY", OR "CORPORATION", or the  
      abbreviation "CORP.", "INC.", or "CO." or words or abbreviations of like import in language as will clearly   
      indicate that it is a corporation instead of a natural person or partnership if not so contained in the name    
      at present. 
  
 2.                                                                                                                     
                         State or country under the laws of which it is incorporated 
  
 3.                                                 4.                                                           
   Date of Incorporation                   Federal Employer Identification Number, if applicable 
  
 5.                                                                                                                     
                                                                     
                                                          Current mailing address 
   
 6.                                                                                                                     
  
                         Brief description of the nature of the business in which it is engaged 
                                                                     
 7.  Attached is a certificate of existence or a certificate setting forth that the corporation is in good 
   standing under the laws of the state or country wherein it is organized, from the state or country of 
   incorporation. 
  
 8.                                                                                                                     
                 Signature of Chairman, Vice Chairman, or officer                                   Date  
  
 9.                                                                                                                     
                          Name and capacity of person signing application 
  
 DIVISION OF CORPORATIONS P.O. BOX 6327 TALLAHASSEE, FLORIDA  32314