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Amendment to Application for Conducting Affairs in Florida

These are amendments to foreign profitable and nonprofit corporations' authorization to transaction business in Florida. The form provided here is simply a sample of what the actual Form CR2E019 looks like.

CR2E019 (9/00)

NOT FOR PROFIT CORPORATION
APPLICATION BY FOREIGN NOT FOR PROFIT CORPORATION TO FILE
AMENDMENT TO APPLICATION FOR CONDUCTING AFFAIRS IN FLORIDA

(Pursuant to s. 617.1504, F.S.)

SECTION I
(1-3 MUST BE COMPLETED)

1. Name of corporation as it appears on the records of the Department of State.

_________________________

2. Incorporated under laws of _________________________

3. Date authorized to conduct affairs in Florida _______________________

SECTION II
(4-7 COMPLETE ONLY THE APPLICABLE CHANGES)

4. If the amendment changes the name of the corporation, when was the change effected under the laws of its jurisdiction of incorporation?

_________________________.

5. Name of corporation after the amendment, adding suffix "corporation" or "incorporated", or appropriate abbreviation, if not contained in new name of the corporation. "Company" or "Co." may not be used as a corporate suffix by a nonprofit corporation.

_________________________

6. If the amendment changes the period of duration, indicate new period of duration and the date the change was effected.

New Duration _________________________

Date _________________________

7. If the amendment changes the jurisdiction of incorporation, indicate new jurisdiction and the date the change was effected.

New Jurisdiction _________________________

Date _________________________

8. If the purpose which the corporation intends to pursue in Florida has changed indicate new purpose.

The corporation is authorized to pursue such purpose in the jurisdiction of its incorporation.

_________________________

Signature _________________________

Date _________________________

Typed or printed name _________________________

Title _________________________

PROFIT CORPORATION
APPLICATION BY FOREIGN PROFIT CORPORATION TO FILE AMENDMENT TOAPPLICATION FOR AUTHORIZATION TO TRANSACT BUSINESS IN FLORIDA

(Pursuant to s. 607.1504, F.S.)

SECTION I

(1-3 MUST BE COMPLETED)

1. Name of corporation as it appears on the records of the Department of State.

_________________________

2. Incorporated under laws of _________________________

3. Date authorized to do business in Florida _________________________

SECTION II

(4-7 COMPLETE ONLY THE APPLICABLE CHANGES)

4. If the amendment changes the name of the corporation, when was the change effected under the laws of its jurisdiction of incorporation?

_________________________

5. Name of corporation after the amendment, adding suffix "corporation" "company" or "incorporated," or appropriate abbreviation, if not contained in new name of the corporation.

_________________________

6. If the amendment changes the period of duration, indicate new period of duration.

New Duration _________________________

7. If the amendment changes the jurisdiction of incorporation, indicate new jurisdiction.

New Jurisdiction _________________________

Signature _________________________

Date _________________________

Typed or printed name _________________________

Title _________________________


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INSTRUCTIONS FOR FILLING OUT THIS FORM
-----------------------------

Attached is the information concerning a change of name, duration, jurisdiction, or purpose for a foreign profit or not for profit corporation qualified to do business or conduct its affairs in Florida as required by section 607.1504 or 617.1504, Florida Statutes. The following requirements must be met within 30 days after the occurrence of such a change:

• Complete the appropriate application for amendment attached to this letter.

• An original certificate from the state of incorporation evidencing the amendment must be submitted with the application. The certificate must be issued within the last 90 days.

• The document must be signed by the chairman or vice chairman of the board of directors or any officer or fiduciary if appropriate (see section 607.0120 or 617.01201, Florida Statutes).

• Fees for the amendment are:

Filing Fee $35.00

Certified Copy (optional) $ 8.75 (plus $1 per page for each page over 8, not to exceed a maximum of $52.50).

Certificate of Status (optional) $ 8.75

Send one check in the total amount made payable to the Department of State.

Please include a cover letter containing your telephone number and return address.

Please send application to:

Amendment Section
Division of Corporations
P. O. Box 6327
Tallahassee, FL 32314

For further information, you may call (850)487-6050.

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