FLORIDA DEPARTMENT OF STATE
DIVISION OF CORPORATIONS
Attached is a form for filing Articles of Amendment to amend the articles of incorporation of a Florida Profit Corporation, Florida
Profit Benefit Corporation or Florida Profit Social Purpose Corporation pursuant to section 607.1006, Florida Statutes. This is a
basic amendment form and may not satisfy all statutory requirements for amending.
A corporation can amend or add as many articles as necessary in one amendment.
The original incorporators cannot be amended.
If amending the name of the corporation, the new name must be distinguishable on the records of the Florida Department of
State. A preliminary search for name availability can be made through the Division’s website at www.sunbiz.org. You are
responsible for any name infringement that may result from your corporate name selection.
If amending the registered agent, the new agent must sign accepting the appointment and state that he/she is familiar with the
obligations of the position.
If amending/adding officers/directors, list titles and addresses for each officer/director.
If amending from a general corporation to a professional corporation, the purpose (specific nature of business) must be
amended or added if not contained in the articles of incorporation.
If a section is not being amended, enter N/A or Not Applicable.
The document must be typed or printed and must be legible.
Pursuant to section 607.0123, Florida Statutes, a delayed effective date may be specified but may not be later than the 90
th
day after
the date on which the document is filed.
Filing Fee $35.00 (Includes a letter of acknowledgment)
Certified Copy (optional) $8.75
Certificate of Status (optional) $8.75
Send one check in the total amount made payable to the Florida Department of State.
Please include a letter containing your telephone number, return address and certification requirements, or complete the attached cover
letter.
Mailing Address: Street Address:
Amendment Section Amendment 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
For further information you may call the Amendment Section at (850) 245-6050
INHS78 (6/14)
COVER LETTER
TO: Amendment Section
Division of Corporations
NAME OF CORPORATION:
DOCUMENT NUMBER:
The enclosed Articles of Amendment and fee are submitted for filing.
Please return all correspondence concerning this matter to the following:
Name of Contact 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 Contact Person Area Code & Daytime Telephone Number
Enclosed is a check for the following amount made payable to the Florida Department of State:
$35 Filing Fee $43.75 Filing Fee & $43.75 Filing Fee & $52.50 Filing Fee
Certificate of Status Certified Copy Certificate of Status
(Additional copy is Certified Copy
enclosed) (Additional Copy
is enclosed)
Mailing Address: Street Address:
Amendment Section Amendment 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
Articles of Amendment
to
Articles of Incorporation
of
(Name of Corporation as currently filed with the Florida Dept. of State)
(Document Number of Corporation (if known)
Pursuant to the provisions of section 607.1006, Florida Statutes, this corporation adopts the following amendment(s) to its Articles of
Incorporation:
A. If amending name, enter the new name of the corporation:
The new
name must be distinguishable and contain the word “corporation,” “company,” or “incorporated” or the abbreviation “Corp.,”
“Inc.,” or Co.,” or the designation “Corp,” “Inc,” or “Co”. A professional corporation name must contain the word
“chartered,” “professional association,” or the abbreviation “P.A.”
B. Enter new principal office address, if applicable:
(Principal office address MUST BE A STREET ADDRESS )
C. Enter new mailing address, if applicable:
(Mailing address MAY BE A POST OFFICE BOX)
D. If amending the registered agent and/or registered office address in Florida, enter the name of the
new registered agent and/or the new registered office address:
Name of New Registered Agent
(Florida street address)
New Registered Office Address: , Florida
(City) (Zip Code)
New Registered Agent’s Signature, if changing Registered Agent:
I hereby accept the appointment as registered agent. I am familiar with and accept the obligations of the position.
Signature of New Registered Agent, if changing
Page 1 of 6
If amending the Officers and/or Directors, enter the title and name of each officer/director being removed and title, name, and
address of each Officer and/or Director being added:
(Attach additional sheets, if necessary)
Please note the officer/director title by the first letter of the office title:
P = President; V= Vice President; T= Treasurer; S= Secretary; D= Director; TR= Trustee; C = Chairman or Clerk; CEO = Chief
Executive Officer; CFO = Chief Financial Officer. If an officer/director holds more than one title, list the first letter of each office held.
President, Treasurer, Director would be PTD.
Changes should be noted in the following manner. Currently John Doe is listed as the PST and Mike Jones is listed as the V. There is
a change, Mike Jones leaves the corporation, Sally Smith is named the V and S. These should be noted as John Doe, PT as a Change,
Mike Jones, V as Remove, and Sally Smith, SV as an Add.
Example:
X Change PT John Doe
X Remove V Mike Jones
X Add SV Sally Smith
Type of Action Title Name Address
(Check One)
1) Change
Add
Remove
2) Change
Add
Remove
3 ) Change
Add
Remove
4) Change
Add
Remove
5) Change
Add
Remove
6) Change
Add
Remove
Page 2 of 6
E. FLORIDA PROFIT BENEFIT CORPORATION OPTIONS, IF APPLICABLE:
The corporation, in accordance with the required minimum status vote, elects to be a Florida Profit Benefit Corporation in
accordance with s. 607.604, F.S.
The purpose for which the benefit corporation is organized is to create a general public benefit and:
The general and/or specific public benefit(s) to be created by the corporation (in addition to its general purpose) is/are as
follows (optional):
The additional qualifications of Benefit Director(s), if any, are as follows:
The name(s) and address(es) of the Benefit Director(s) and/or Benefit Officer(s), if any:
Name and Title: Name and Title:
Address: Address:
(Include attachment if necessary)
The corporation, in accordance with the required minimum status vote, terminates its status as a Florida Profit Benefit
Corporation in accordance with s. 607.605, F.S. The revised purpose for which the corporation is organized is as follows:
The additional qualifications of Benefit Director(s), if any, are no longer applicable and are hereby deleted.
Page 3 of 6
F. FLORIDA PROFIT SOCIAL PURPOSE CORPORATION OPTIONS, IF APPLICABLE:
The corporation, in accordance with the required minimum status vote, elects to be a Florida Profit Social Purpose
Corporation in accordance with s. 607.504, F.S. The business purpose for which the social purpose corporation is organized
is:
The public benefit for which the corporation is organized is:
The specific public benefit(s) to be created by the corporation (in addition to the above) is/are as follows (optional):
The additional qualifications of Benefit Director(s), if any, are as follows:
The name(s) and address(es) of the Benefit Director(s) and/or Benefit Officer(s), if any:
Name and Title: Name and Title:
Address: Address:
(Include attachment if necessary)
The corporation, in accordance with the required minimum status vote, terminates its status as a Florida Profit Social Purpose
Corporation in accordance with s. 607.505, F.S. The revised purpose for which the corporation is organized is as follows:
The additional qualifications of Benefit Director(s), if any, are no longer applicable and are hereby deleted.
Page 4 of 6
G. If amending or adding additional Articles, enter change(s) here:
(Attach additional sheets, if necessary). (Be specific)
H. If an amendment provides for an exchange, reclassification, or cancellation of issued shares,
provisions for implementing the amendment if not contained in the amendment itself:
(if not applicable, indicate N/A)
Page 5 of 6
The date of each amendment(s) adoption: , if other than the
date this document was signed.
Effective date if applicable:
(no more than 90 days after amendment file date)
Adoption of Amendment(s) (CHECK ONE)
The amendment(s) was/were adopted by the shareholders. The number of votes cast for the amendment(s)
by the shareholders was/were sufficient for approval.
The amendment(s) was/were approved by the shareholders through voting groups. The following statement
must be separately provided for each voting group entitled to vote separately on the amendment(s):
“The number of votes cast for the amendment(s) was/were sufficient for approval
by .”
(voting group)
The amendment(s) was/were adopted by the board of directors without shareholder action and shareholder
action was not required.
The amendment(s) was/were adopted by the incorporators without shareholder action and shareholder
action was not required.
Dated
Signature
(By a director, president or other officer if directors or officers have not been
selected, by an incorporator if in the hands of a receiver, trustee, or other court
appointed fiduciary by that fiduciary)
(Typed or printed name of person signing)
(Title of person signing)
Page 6 of 6