Fillable COVER LETTER Department of State Division of Corporations (Florida Division of Corporations)

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COVER LETTER Department of State Division of Corporations (Florida Division of Corporations)

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COVER LETTER
Department of State
Division of Corporations
P.O. Box 6327
Tallahassee, FL 32314
SUBJECT:
Enclosed is an original and one (1) copy of the Articles of Domestication and a check:
FEES:
Certificate of Domestication $ 50.00
Articles of Incorporation and Certified Copy $ 78.75
Total filing fee $128.75
OPTIONAL:
Certificate of Status $ 8.75
From:
Name (printed or typed)
Address
City, State & Zip
Daytime Telephone Number
E-mail address: (to be used for future annual report notification)
INHS53 (3/20)
Articles of Domestication
Foreign Corporation Domesticating to Florida
The undersigned, ,
(Name) (Title)
of , a foreign
corporation, in accordance with s. 607.11922, Florida Statutes, submit these Articles of
Domestication.
1. Then name of the domesticating corporation is
(Foreign Corporation)
.
2. The jurisdiction and date of its formation is
3. The name of the domesticated corporation is
.
4. The jurisdiction of formation of the domesticated corporation is Florida
5. The domestication corporation is a foreign corporation and the domestication was
approved in accordance with its organic law.
6. Attached are Florida Articles of Incorporation to complete the domestication
requirements pursuant to s.607.0202, F.S.
I certify I am authorized to sign these Articles of Domestication on behalf of the corporation.
(Authorized Signature)
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ARTICLES OF INCORPORATION
IN COMPLIANCE WITH CHAPTER 607, F.S.
ARTICLE I NAME
THE NAME OF THE CORPORATION SHALL BE:
ARTICLE II PRINCIPAL OFFICE
THE PRINCIPAL PLACE OF BUSINESS/MAILING ADDRESS IS:
Principal Address Mailing Address
ARTICLE III PURPOSE
THE PURPOSE FOR WHICH THE CORPORATION IS ORGANIZED:
ARTICLE IV SHARES
THE NUMBER OF SHARES OF STOCK IS: ______________________________
ARTICLE VI REGISTERED AGENT AND STREET ADDRESS
THE NAME AND FLORIDA STREET ADDRESS (P.O. BOX NOT ACCEPTABLE) OF THE REGISTERED AGENT IS:
_________________________________________
_________________________________________
_________________________________________
HAVING BEEN NAMED AS REGISTERED AGENT AND TO ACCEPT SERVICE OF PROCESS FOR THE
ABOVE STATED CORPORATION AT THE PLACE DESIGNATED IN THIS CERTIFICATE
, I AM FAMILIAR
WITH AND ACCEPT THE APPOINTMENT AS REGISTERED AGENT AND AGREE TO ACT IN THIS
CAPACITY
.
Signature/Registered Agent Date
ARTICLE V DIRECTORS AND/ OR OFFICERS
THE NAME(S) AND ADDRESS(ES) AND SPECIFIC TITLES:
Name & Title: Name & Title:
Address: Address:
Name & Title: Name & Title:
Address: Address:
Name & Title: Name & Title:
Address: Address:
Name & Title: Name & Title:
Address: Address:
I submit this document and affirm that the facts stated herein are true. I am aware that false
information submitted in a document to the Department of State constitutes a third degree felony as
provided for in s.817.155.F.S.
Signature/Authorized Person Date
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COVER LETTER Department of State Division of Corporations (Florida Division of Corporations)

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Completed 11 February 2021

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