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                                                        COVER LETTER 
                                                                 
TO: Registration Section 
    Division of Corporations 
 
SUBJECT:                                                                                                              
                                                Name of Limited Liability Company 
                                                                 
Dear Sir or Madam: 
 
The enclosed Statement of Correction 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            ☐  $30 Filing Fee &         ☐$55 Filing Fee &     ☐ $60 Filing Fee,  
                                   Certificate of Status          Certified Copy            Certificate of Status &  
                                                                                     Certified Copy 
 
CR2E062 (9/15) 



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                                               STATEMENT OF CORRECTION 
                                                                      FOR 
                               FLORIDA OR FOREIGN LIMITED LIABILITY COMPANY 
                                                                       
 Pursuant to section 605.0209, F.S., this document is being submitted to correct a previously filed document. 
  
 FIRST: The name of the limited liability company is:                                                           
  
 SECOND:          The Florida Document number of the limited liability company is:                              
  
 THIRD:           Document to be corrected is:                                                                  
  
              (CHECK THE APPROPRIATE BOX AND COMPLETE THE APPLICABLE STATEMENT 
  
 ☐    Contains an incorrect statement.  The incorrect statement, the reason the statement is incorrect, and the corrected 
      statement are as follows: 
  
      OR 
       
 ☐    Was defectively signed.  The manner in which the document was defectively signed and the appropriate correction are 
      as follows:  
  
      OR 
  
 ☐    The electronic transmission of the record was defective. 
  
                     Signature of Authorized Representative                                            Date  
  
 Signature of new registered agent, if applicable :( NOTE: if correcting the registered agent, the new registered agent must sign 
 accepting the designation). 
  
 New Registered Agent’s Signature, if changing Registered Agent: 
 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.  
  
                                                                         Registered Agent’s Signature 
                                                                       
                                                Filing Fee:                $25.00 
                                                     Certified Copy:              $30.00 (optional) 
        
CR2E062 (9/15)  
 






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