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FLORIDA DEPARTMENT OF STATE DIVISION OF CORPORATIONS Attached (Florida Division of Corporations)

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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 Not for Profit Corporation
pursuant to section 617.1006, 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 a section is not being amended, enter N/A or Not Applicable.
The document must be typed or printed and must be legible.
The document must be typed or printed and must be legible.
Pursuant to section 617.0123, 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
CR2E009 (4/15)
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 617.1006, Florida Statutes, this Florida Not For Profit 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” or “incorporated” or the abbreviation “Corp.” or “Inc.”
“Company” or “Co.” may not be used in the name.
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
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
E. If amending or adding additional Articles, enter change(s) here:
(attach additional sheets, if necessary). (Be specific)
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)
Note: If the date inserted in this block does not meet the applicable statutory filing requirements, this date will not be listed as the
document’s effective date on the Department of State’s records.
Adoption of Amendment(s) (CHECK ONE)
The amendment(s) was/were adopted by the members and the number of votes cast for the amendment(s)
was/were sufficient for approval.
There are no members or members entitled to vote on the amendment(s). The amendment(s) was/were
adopted by the board of directors.
Dated
Signature
(By the chairman or vice chairman of the board, president or other officer-if directors
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)
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Completed 25 August 2020

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